Rooted Mind & Body
Counselor, Mental Health in Driggs, ID. Organization (NPI-2).
NPI number1124863147
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1124863147
- Entity type
- Organization (NPI-2)
- Legal business name
- Rooted Mind & Body
- Organization subpart
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
245 E Ashley AveDriggs, ID 83422-5210
Phone 541-279-5602
Mailing address
245 E Ashley AveDriggs, ID 83422-5210
Phone 541-279-5602
Authorized official
Rachel Mackey
Owner
5412795602
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Mental Health Counselor providers in Driggs · All 188 providers in Driggs
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