CLYDE TIGNER (NPI# 1689066896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689066896 |
| Entity Type | Individual |
| Full Name | CLYDE TIGNER |
| Practice Address |
560 Moonlite Dr Idaho Falls ID 83402-2336 |
| Practice Telephone | 2085248210 |
| Practice Fax Number | 2085242758 |
| Mailing Telephone | 2085248210 |
| Mailing Fax Number | 2085242758 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-819 | ID | Behavioral Health & Social Service Providers |
| Street Address |
560 MOONLITE DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| 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 |
|---|---|---|---|---|
| 1285154054 | Evergreen Counseling LLC | Counselor | 1920 E 17th St Ste 240, Idaho Falls, ID 83404-8036 | 2017-06-22 |
| 1114322906 | Jodi H Richins | Counselor | 2429 Jafer Ct, Idaho Falls, ID 83404-5587 | 2014-10-23 |
| 1336576743 | Mary Louise Tompkins | Counselor | 2275 West Broadway, Suite G, Idaho Falls, ID 83402 | 2013-09-30 |
| 1962742957 | James Resare | Counselor | 2100 Niagara St, Idaho Falls, ID 83404-8025 | 2013-02-27 |
| 1710244371 | Laura Lee Shepherd Klosterman | Counselor | 548 Lomax St, Idaho Falls, ID 83401-2634 | 2012-04-19 |
| 1558657098 | Kellie J Brown | Counselor | 2001 S. Woodruff Ste. 6, Idaho Falls, ID 83402 | 2011-06-23 |
| 1477766905 | Tueller Counseling Inc | Counselor | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 | 2007-05-08 |
| 1467574442 | Lisa D. Calderwood | Counselor | 703 John Adams Pkwy, Idaho Falls, ID 83401-4023 | 2007-04-03 |
| 1497807416 | Katie Marie Anderson | Counselor | 1740 E 17th St Steb, Idaho Falls, ID 83404 | 2007-01-18 |
| 1871604942 | Family Resource Centers of America | Counselor | 2647 E 14 N, Idaho Falls, ID 83401-2301 | 2006-08-31 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on CLYDE TIGNER.
| 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.