Idaho Recovery Center, LLC.
NPI 1366099293ActiveOrganization· Counselor, Mental Health· Idaho Falls, ID
Counselor, Mental Health in Idaho Falls, Idaho, registered in NPPES in August 2019. The authorized official on file is Matthew Smith, DIRECTOR, Executive Director.
Overview
| NPI | 1366099293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2019 |
| Last updated in NPPES | Aug 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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