JEFF EASTMAN (NPI# 1073881561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073881561 |
| Entity Type | Individual |
| Full Name | JEFF EASTMAN |
| Credential | LCPC |
| Practice Address |
2589 S Five Mile Rd Boise ID 83709-2325 |
| Mailing Address |
2861 N Mule Deer Way Meridian ID 83646-7813 |
| Practice Telephone | 2088414837 |
| Mailing Telephone | (208) 509-0889 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-4825 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-5455 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669671897 | Jeff P. Eastman | Physical Therapy Assistant | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-07-17 |
| Street Address |
2589 S FIVE MILE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487922902 | Healthy Place Counseling Boise LLC | Clinic/Center | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2011-12-12 |
| 1871089532 | James Mhoon | Counselor | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2018-07-06 |
| 1720502354 | Wellspring Counseling Services, LLC | Psychologist | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2017-07-25 |
| 1255852703 | Wanda Burleson Bouchard | Counselor | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2017-07-05 |
| 1073970208 | Briana Gilligan | Social Worker | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2016-01-19 |
| 1184048118 | Maggie Romig | Counselor | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2014-02-11 |
| 1891128815 | Laureen Kay Rhuman | Counselor | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2013-08-13 |
| 1669804506 | Megan Michelle Brown | Counselor | 2589 S Five Mile Rd, Boise, ID 83709-2325 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1972138485 | Lesha Renee Brandt | Counselor | 7950 Horseshoe Bend Rd, Boise, ID 83714-3809 | 2020-03-04 |
| 1235783564 | Stephanie Therese Breitenstein | Counselor | 4310 W Clark St, Boise, ID 83705-2024 | 2019-07-25 |
| 1124687520 | Something Different Counseling LLC | Counselor | 6126 W State St # 409, Boise, ID 83703-2741 | 2019-06-10 |
| 1548727118 | Elsa Francis Willis | Counselor | 190 E Front St Apt 420, Boise, ID 83702-7316 | 2019-03-01 |
| 1841763778 | Jana Lyn Taylor | Counselor | 2928 S Mayflower Way, Boise, ID 83709-8567 | 2019-01-03 |
| 1417436601 | Laura Burdette | Counselor | 4696 W Overland Rd Ste 168, Boise, ID 83705-2878 | 2018-08-09 |
| 1114405925 | Garrett Price | Counselor | 17917 N Evanton Way, Boise, ID 83714-5524 | 2018-08-02 |
| 1518457332 | Rebecca Lindsey Gonzales | Counselor | 6625 W Holiday Dr, Boise, ID 83709-2023 | 2018-05-16 |
| 1417445461 | Sarah Harris | Counselor | 10020 W Fairview Ave Ste 204, Boise, ID 83704-8571 | 2018-04-25 |
| 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.