ASHTON MEMORIAL INC. NPI 1003907163

NPI Information

  • NPI: 1003907163
  • Provider Name: ASHTON MEMORIAL, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: YOUTH AND FAMILY RENEWAL SERVICES
  • Address: 2935 ROLLANDET ST
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 542-2905

Map and Directions

Get Directions

NPI Details

ASHTON MEMORIAL, INC. is a mental health counselor in Idaho Falls, ID. ASHTON MEMORIAL, INC. NPI is 1003907163. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Youth And Family Renewal Services.

The provider's business location address is:

2935 ROLLANDET ST
IDAHO FALLS, ID
ZIP 83402-654
Phone: (208) 542-2905
Fax: (208) 522-2427

The provider's authorized official is Sheila Kellogg .
The authorized official title is Administrator and has the following contact phone number (208) 652-7461.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1807361800MEDICAIDIDAHO
2805100400MEDICAIDIDAHO
3807641700MEDICAIDIDAHO
4807195500MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI