CHILDRENS SUPPORTIVE SERVICES INCORPORATED (NPI# 1306063987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306063987 |
| Entity Type | Organization |
| Organization Name | CHILDRENS SUPPORTIVE SERVICES INCORPORATED |
| Practice Address |
224 Evans Ln Chubbuck ID 83202-1912 |
| Mailing Address |
1565 E Lincoln Rd Idaho Falls ID 83401-2129 |
| Practice Telephone | 2085248996 |
| Practice Fax Number | 2085241205 |
| Mailing Telephone | 2085248996 |
| Mailing Fax Number | 2085241205 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | CATHIE CRANE (SECRETARY-TREASURER) |
| Authorized Official Telephone | 2085248996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807373100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790903920 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 1600 E Lincoln Rd, Idaho Falls, ID 83401-2144 | 2007-04-23 |
| 1558429977 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 1565 E Lincoln Rd, Idaho Falls, ID 83401-2129 | 2006-12-05 |
| 1023236254 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 1565 E Lincoln Rd, Idaho Falls, ID 83401-2129 | 2007-04-23 |
| 1932327160 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-23 |
| 1407074636 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 2007-04-23 |
| 1003034224 | Childrens Supportive Services Incorporated | Case Management | 1600 E Lincoln Rd, Idaho Falls, ID 83401-2144 | 2007-04-23 |
| 1467679035 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 625 W Pacific St, Suite 2, Blackfoot, ID 83221-2034 | 2007-04-18 |
| Street Address |
224 EVANS LN |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013131366 | Nancy Hensen | Counselor | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-11 |
| 1265821243 | Mirthia Marie Carrio | Social Worker | 224 Evans Ln, Ste A, Chubbuck, ID 83202-1912 | 2015-01-14 |
| 1225384779 | Tiffany Marie Nielson | Counselor | 224 Evans Ln, Suite 1, Chubbuck, ID 83202-1912 | 2012-08-01 |
| 1932327160 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497069132 | Belmont Management, Inc. | Community/Behavioral Health | 4806 Hawthorne Rd, Chubbuck, ID 83202-2325 | 2010-08-05 |
| 1679112502 | Center Counseling, LLC | Community/Behavioral Health | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1821387242 | John Hochhalter, Lpc | Community/Behavioral Health | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2011-04-06 |
| 1316251895 | Seasons of Hope, LLC | Community/Behavioral Health | 4650 Hawthorne Rd, Suite 3b, Chubbuck, ID 83202-2376 | 2010-07-27 |
| 1932327160 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-23 |
| 1841417565 | Center Counseling Psr | Community/Behavioral Health | 4460 Kings Way Ste 2, Chubbuck, ID 83202-1900 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
| 1811502313 | Mindful Moments LLC | Community/Behavioral Health | 15636 N Highway 41 Ste 700, Rathdrum, ID 83858-8710 | 2020-09-10 |
| 1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
| 1538779566 | Carolyn Elizabeth Barndt | Community/Behavioral Health | 1302 12th St, Lewiston, ID 83501-2932 | 2020-08-04 |
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1023634672 | Padron Counseling Services, LLC | Community/Behavioral Health | 522 Lomax St, Idaho Falls, ID 83401-2634 | 2020-06-19 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1487283917 | Emma Orthel Therapy, Pllc | Community/Behavioral Health | 210 N 3rd E, Mountain Home, ID 83647-2733 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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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.