MR. GREGORY SCOTT CUSTER (NPI# 1770568388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568388 |
| Entity Type | Individual |
| Full Name | MR. GREGORY SCOTT CUSTER |
| Credential | MS, LCPC, MFTI |
| Practice Address |
601 Addison Ave Twin Falls ID 83301-5204 |
| Practice Telephone | 2084204102 |
| Practice Fax Number | 2087331332 |
| Mailing Telephone | 2084204102 |
| Mailing Fax Number | 2087331332 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-3852 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1043389976 | Gregory A Custer | Physician Assistant | 188 Industrial Park Rd, Ste B, Ebensburg, PA 15931-4107 | 2006-11-07 |
| Street Address |
601 ADDISON AVE |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382299 | Miriam Joyce Staffen | Counselor | 1399 Fillmore St Ste 502, Twin Falls, ID 83301-3351 | 2019-08-23 |
| 1710541719 | Altis Counseling Associates, LLC | Counselor | 155 2nd Ave N Ste 202, Twin Falls, ID 83301-6164 | 2019-04-24 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1598211781 | Paul Richard Garn | Counselor | 630 Hayes Dr, Twin Falls, ID 83301-4129 | 2016-08-29 |
| 1023258704 | Linda K Waggoner | Counselor | 493 Eastland, Twin Falls, ID 83303-0047 | 2009-02-20 |
| 1770706285 | Sharon Cleveland | Counselor | 834 Falls Ave Ste 1280, Twin Falls, ID 83301-3364 | 2007-04-11 |
| 1730216912 | Kelsie Lyn Robinson | Counselor | 220 4th Ave E, Twin Falls, ID 83301-6312 | 2007-02-27 |
| 1053470930 | Laurie Hewitt Geren | Counselor | 810 Chase Dr, Twin Falls, ID 83301-4211 | 2006-12-07 |
| 1982691069 | Matthew D Geske | Counselor | 834 Falls Ave, Suite 1180, Twin Falls, ID 83301-3365 | 2005-10-04 |
| 1508413394 | Angie Lea Hanson | Counselor | 1363 Fillmore St, Twin Falls, ID 83301-3392 | 2019-08-26 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MR. GREGORY SCOTT CUSTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.