STACY JO PRAY (NPI# 1285868125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285868125 |
| Entity Type | Individual |
| Full Name | STACY JO PRAY |
| Credential | LPC |
| Practice Address |
845 W Center St Suite C Pocatello ID 83204-4205 |
| Mailing Address |
5167 W Yarrow Rd Pocatello ID 83201-9028 |
| Practice Telephone | 2084784642 |
| Practice Fax Number | 2072328001 |
| Mailing Telephone | 2087090111 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3306 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO BOARD OF PROFESSIONAL COUNSELING | 3306 | 01 |
| Street Address |
845 W CENTER ST SUITE C |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906553 | Alison Stocks | Family Medicine | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2005-07-15 |
| 1578850400 | Christa Santos-smith | Counselor | 845 W Center St, Suite C, Pocatello, ID 83204-4205 | 2011-06-29 |
| 1184917346 | Shannon Lavon Brown | Social Worker | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2011-05-20 |
| 1457502700 | Nancy Goodman | Counselor | 845 W Center St, Suite 306, Pocatello, ID 83204-4205 | 2008-10-06 |
| 1053580308 | Kathleen M Condon | Psychologist | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2008-02-20 |
| 1194993550 | James Vonbusch | Counselor | 845 W Center St, Suite C, Pocatello, ID 83204-4205 | 2008-02-19 |
| 1336321181 | Jami Sue Price | Physician Assistant | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2007-12-04 |
| 1871654798 | Christy Kelshaw | Counselor | 845 W Center St, Suite C, Pocatello, ID 83204-4205 | 2006-12-13 |
| 1831132232 | Ty A Salness | Internal Medicine | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2006-06-14 |
| 1215929690 | David E Martin | Physician Assistant | 845 W Center St, Suite 200, Pocatello, ID 83204-4205 | 2005-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1689163867 | Sarah Nicolle Baquet | Counselor | 224 S Arthur Ave # 2, Pocatello, ID 83204-3202 | 2018-05-03 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1730437500 | Jeremy Garth Coleman | Counselor | 1246 Yellowstone Ave Ste F, Pocatello, ID 83201-4374 | 2012-08-27 |
| 1255602983 | Covey LLC | Counselor | 730 E Clark St # 4571, Pocatello, ID 83201-6238 | 2012-01-26 |
| 1427337831 | Justice Isaacson | Counselor | Cognitive Restructuring LLC, 707 North 7th Ave Ste #d, Pocatello, ID 83201-3357 | 2011-08-16 |
| 1700165628 | Connie Kreizenbeck | Counselor | 409 Washington Ave., Pocatello, ID 83201 | 2011-08-09 |
| 1740568658 | Kimberly B Rasmussen | Counselor | 231 N 6th, Pocatello, ID 83201 | 2011-07-26 |
| 1699005132 | Gina H Judd | Counselor | 819 N 12th Ave, Pocatello, ID 83201-4741 | 2010-01-06 |
| Find all providers in POCATELLO | ||||
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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.