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SUMMIT CREEK COUNSELING LLC
NPI 1609415199
Counselor in Malad City, ID

Active since December 31, 2019
57 BANNOCK ST, MALAD CITY, ID 83252(208) 220-6534 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Creek Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT CREEK COUNSELING LLC (NPI 1609415199) is a healthcare organization registered as a counselor in Malad City, Idaho and active in the NPI registry since December 2019. The organization lists Jodie Barnes, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1609415199
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameSUMMIT CREEK COUNSELING LLC
Location Address57 BANNOCK STMalad City, ID 83252-1240
Mailing AddressPo Box 35Downey, ID 83234-0035 · (208) 220-6534
Phone(208) 220-6534
Organization SubpartNo
Authorized OfficialJodie BarnesManager/member · (208) 220-6534
Enumeration DateDecember 31, 2019
✔ NPI 1609415199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
57 BANNOCK ST, Malad City, ID 83252
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Creek Counseling LLC's NPI number?

The NPI number for Summit Creek Counseling LLC is 1609415199. It was assigned to this organization in the NPPES registry on December 31, 2019.

Where is Summit Creek Counseling LLC located?

Summit Creek Counseling LLC is located at 57 Bannock St, Malad City, ID 83252. The listed phone number is (208) 220-6534.

What is Summit Creek Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Summit Creek Counseling LLC was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.