JACKIE NELSON, PLLC (NPI# 1033740865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033740865 |
Entity Type | Organization |
Organization Name | JACKIE NELSON, PLLC |
Practice Address |
202 N 9th St Ste 401c Boise ID 83702-5770 |
Mailing Address |
4621 W Kendall St Boise ID 83706-2222 |
Practice Telephone | 2086399192 |
Mailing Telephone | 4803165462 |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |
Authorized Official Name | JACQUELYN NELSON (OWNER AND COUNSELOR) |
Authorized Official Telephone | 4803165462 |
Authorized Official Credential | M.S.C, LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
202 N 9TH ST STE 401C |
City | BOISE |
State | ID |
Zip Code | 83702-5770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
Find all providers in zip 83702 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502438 | Dale Wilson Counseling and Evaluation | Clinic/Center | 6126 W State St Ste 101, Boise, ID 83703-2741 | 2020-09-10 |
1144843285 | Whole Health Counseling LLC | Clinic/Center | 2616 W Jefferson St, Boise, ID 83702-4713 | 2020-05-23 |
1073891917 | Access Behavioral Health Services Inc. | Clinic/Center | 11295 W Abram Dr, Boise, ID 83713-6013 | 2011-07-26 |
1871799056 | Community Health Clinics Inc | Clinic/Center | 848 La Cassia Dr, Boise, ID 83705-2253 | 2007-06-25 |
1922669373 | Blue Hummingbird Counseling & Wellness LLC | Clinic/Center | 1524 W Hays St Ste 201, Boise, ID 83702-4035 | 2019-06-26 |
1730742016 | Kimberly Hinrichs Pllc | Clinic/Center | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-22 |
1922582501 | Integrity Psychiatric Services, LLC | Clinic/Center | 5440 W Franklin Rd Ste 108, Boise, ID 83705-6433 | 2018-09-19 |
1477049492 | Idaho Trauma Therapy LLC | Clinic/Center | 6126 W State St Ste 109, Boise, ID 83703-2741 | 2018-07-02 |
1821376773 | Access Behavioral Health Services | Clinic/Center | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2011-07-26 |
1730379629 | Cornerstone Psychological Associates, Pllc | Clinic/Center | 1755 Westgate Dr Ste 260, Boise, ID 83704-7176 | 2007-07-27 |
Find all providers in BOISE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.