P Praxis·MD
● Active Type 2 · Organization

Lighthouse For Recovery, Llc

Counselor·Pocatello, ID· NPI 1013298058 · Enumerated 2011 · 14 years on NPI
Lighthouse For Recovery, Llc is 1 of 266 counselor organizations in Idaho.
NPI age
14 years
Enumerated 2011-09-05
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Slaven
Executive Director
Last NPPES update
2011-09-05
Source: monthly bulk 2026-05

How this organization compares

Across 266 active counselor providers in Idaho.

NPI age
14 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1135 Yellowstone Ave, Suite D
Pocatello, ID 832015082
📞 2082322908fax 2082325423
Mailing address
147 W Linden Ave
Chubbuck, ID 832022306
📞 2082373365fax 2082325423

Authorized official

William C. Slaven, LCSW, CADC
Executive Director
📞 2082373365

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCSW 28016 taxonomy 101YA0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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