JOHN L CHRISTENSEN PHD PC (NPI# 1245353440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245353440 |
| Entity Type | Organization |
| Organization Name | JOHN L CHRISTENSEN PHD PC |
| Other Organization Name | PSYCHOSOCIAL REHABILITATION SPECIALISTS |
| Practice Address |
500 S 11th Ave Suite 302 Pocatello ID 83201 |
| Mailing Address |
13235 N Manning Ln Pocatello ID 83202-5184 |
| Practice Telephone | 2082330150 |
| Practice Fax Number | 2082330159 |
| Mailing Telephone | 2082330150 |
| Mailing Fax Number | 2082330159 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | NICHOLE CHRISTENSEN (SECRETARY) |
| Authorized Official Telephone | 2082341707 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN L CHRISTENSEN PHD PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | PSY202148 | ID | Agencies |
| Y | 225C00000X | Rehabilitation Counselor | PSY202148 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807691400 | 05 |
| Other Name | Type Code |
|---|---|
| Psychosocial Rehabilitation Specialists | Doing Business As Name - Organization |
| Street Address |
500 S 11TH AVE SUITE 302 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443699 | Kelli Deanne Christensen | Family Medicine | 500 S 11th Ave, Suite 303, Pocatello, ID 83201 | 2005-08-09 |
| 1700365178 | Adam Gault | Nurse Practitioner | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2018-08-07 |
| 1366982126 | Debra Reiland | Registered Nurse | 500 S 11th Ave, Suite 501, Pocatello, ID 83201-4835 | 2017-02-27 |
| 1235678848 | Jenna Nicole Thompson | Social Worker | 500 S 11th Ave, Suite 303, Pocatello, ID 83201-4835 | 2017-02-15 |
| 1669753109 | Care LLC | Obstetrics & Gynecology | 500 S 11th Ave, Ste 201, Pocatello, ID 83201-4835 | 2011-08-29 |
| 1962790964 | Urology Center of Idaho Pllc | Urology | 500 S 11th Ave, Suite 301, Pocatello, ID 83201-4835 | 2011-07-12 |
| 1689977019 | Karl M Letko | Physician Assistant | 500 S 11th Ave, Suite 503, Pocatello, ID 83201-4835 | 2010-12-07 |
| 1982838694 | Michael Arik Mariska | Counselor | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2009-05-08 |
| 1710111935 | Chelsie Ann Morrison | Family Medicine | 500 S 11th Ave, Suite 102, Pocatello, ID 83201-4835 | 2009-05-04 |
| 1023287828 | Pocatello Children's Clinic | Durable Medical Equipment & Medical Supplies | 500 S 11th Ave, Ste 204, Pocatello, ID 83201-4835 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457373 | Michele Hinkle | Rehabilitation Counselor | 106 E Homestead Ave Apt 5, Coeur D Alene, ID 83814-3656 | 2020-01-28 |
| 1841776184 | Sussannie Lucynda Da Costa | Rehabilitation Counselor | 1525 Main Ave, Saint Maries, ID 83861-1216 | 2018-07-18 |
| 1184746174 | Helping Hand Family Services, LLC | Rehabilitation Counselor | 317 W 6th St, Suite #208, Moscow, ID 83843-2368 | 2007-04-03 |
| 1881723393 | From The Heart, Inc. | Rehabilitation Counselor | 212 Deere St, Twin Falls, ID 83301-8518 | 2007-03-02 |
| 1881222131 | Aspen Ministries Syringa Wellness | Rehabilitation Counselor | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1770865966 | Cari Sue Sylvia | Rehabilitation Counselor | 500 W Fort St, V A Medical Center (b-114), Boise, ID 83702-4598 | 2011-09-13 |
| 1851567929 | Mary Barros-bailey | Rehabilitation Counselor | 6126 W State St, Boise, ID 83703-2741 | 2008-05-07 |
| 1043338072 | A Plus Soluitons, LLC | Rehabilitation Counselor | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2007-03-27 |
| 1669590691 | A Plus Solutions | Rehabilitation Counselor | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2007-03-27 |
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| 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.