4 PILLARS OF SUCCESS LLC — NPI 1396176582 (Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) in AMMON, ID)

CMS-1500 Box 24J / 33a • NPI

1396176582

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YA0400X

Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)

Box 32 Service Location & ZIP+4

1675 CURLEW DR, AMMON, ID, 83406-4718

✓ 9-Digit EDI 837 ZIP+4 (83406-4718)

Practice Phone & Referral Fax

(208) 523-5319

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396176582 (4 PILLARS OF SUCCESS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396176582` (NPI-2 Organization / Facility)
Provider / Legal Name	4 PILLARS OF SUCCESS LLC
Plain-English Specialty	Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) NUCC Code: `101YA0400X` (Counselor, Addiction (Substance Use Disorder))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1675 CURLEW DR, AMMON, ID, 83406-4718
Practice Telephone / Fax	Tel: (208) 523-5319
Administrative Mailing Address	PO BOX 2106, IDAHO FALLS, ID, 83403-2106
Enumeration & Last Sync	Enumerated: 2013-12-12 \| CMS Record Updated: 2025-12-16
Authorized Official	AMBER CAREAGA (Credentialing Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1675 CURLEW DR, AMMON, ID, 83406-4718

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Plain-English Taxonomy & CMS Crosswalk (101YA0400X)

What Does Taxonomy Code 101YA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (4 PILLARS OF SUCCESS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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4 PILLARS OF SUCCESS LLC (NPI #1396176582)