Organization
NORTH FORK COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON BURNHAM LCSW (OWNER/MANAGER)
(208) 201-1300
Entity
Organization
Contact information
Practice address
2691 S 2000 W, REXBURG, ID 83440-4049
(208) 701-9616
Mailing address
PO BOX 64, SUGAR CITY, ID 83448-0064
(208) 701-9616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up