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TETON COUNSELING CENTER INC NPI 1518097690


NPI Information

NPI: 1518097690
Provider Name: TETON COUNSELING CENTER INC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
615 HOOPES AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 542-0352
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TETON COUNSELING CENTER INC is a social worker in Idaho Falls, ID. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. TETON COUNSELING CENTER INC NPI is 1518097690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 HOOPES AVE
IDAHO FALLS, ID
ZIP 83401-106
Phone: (208) 542-0352

The provider's authorized official is Travis K. Bybee .
The authorized official title is President and has the following contact phone number (208) 542-0352.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 12/20/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerLCSW-26094IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807336800MEDICAIDIDAHO
2807315400MEDICAIDIDAHO

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: 11/14/2023

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.