CHRISTY KELSHAW (NPI# 1871654798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871654798 |
Entity Type | Organization |
Organization Name | CHRISTY KELSHAW |
Practice Address |
845 W Center St Suite C Pocatello ID 83204-4205 |
Practice Telephone | 2084784642 |
Practice Fax Number | 2082328001 |
Mailing Telephone | 2084784642 |
Mailing Fax Number | 2082328001 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. CHRISTY KELSHAW (COUNSELOR) |
Authorized Official Telephone | 2084784642 |
Authorized Official Credential | MACOUN, LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-2812 | ID | Behavioral Health & Social Service Providers |
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 |
1285868125 | Stacy Jo Pray | Counselor | 845 W Center St, Suite C, Pocatello, ID 83204-4205 | 2009-05-06 |
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 |
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 |
Find all providers in zip 83204 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
1407363690 | Kimberly B Rasmussen, Pllc | Counselor | 850 E Center St Ste F, Pocatello, ID 83201-5737 | 2018-01-09 |
1508396714 | Steven Richard Miner | Counselor | 440 E Clark St Ste A, Pocatello, ID 83201-6308 | 2017-06-20 |
1306210398 | Amanda Bland | Counselor | 1133 Rowland Rd, Pocatello, ID 83204-7416 | 2015-11-14 |
1962804757 | Gary Sean Redford | Counselor | 12930 N Rio Vista Rd, Pocatello, ID 83202-5007 | 2014-09-23 |
1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
1437585189 | Shayla F Ward | Counselor | 459 S Arthur Ave, Pocatello, ID 83204-3303 | 2013-09-25 |
1366781262 | Gail Taylor Thorngren | Counselor | 201 E Center St Ste B, Pocatello, ID 83201-6339 | 2013-02-12 |
1851650691 | Christine Collaer-muzzo | Counselor | 120 S 12th Ave Ste 4, Pocatello, ID 83201-4814 | 2012-05-14 |
1164780706 | Kimberly Jo Andrew | Counselor | 421 E Oak St, Pocatello, ID 83201-4601 | 2012-05-02 |
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.