MATTHEW P MORRISSETTE (NPI# 1083776256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083776256 |
| Entity Type | Individual |
| Full Name | MATTHEW P MORRISSETTE |
| Credential | LCPC |
| Practice Address |
366 Sw 5th Ave Ste 100 Meridian ID 83642-8600 |
| Mailing Address |
3425 N Creswell Way Boise ID 83713-4744 |
| Practice Telephone | 2088989755 |
| Practice Fax Number | 2088982544 |
| Mailing Telephone | 2088902259 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-3444 | ID | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-2797 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010157489 | 01 |
| ID | BLUE CROSS OF IDAHO | Q7362 | 01 |
| Street Address |
366 SW 5TH AVE STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518036169 | Ascent Behavioral Health Services | Counselor | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2006-11-07 |
| 1093129744 | Deborah J Russo | Social Worker | 366 Sw 5th Ave, Suite 199, Meridian, ID 83642-8600 | 2014-06-19 |
| 1285944546 | Ascent Behavioral Health Services | Psychologist | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2010-10-20 |
| 1578735270 | Brigett W Hollander | Social Worker | 366 Sw 5th Ave, Ste 100, Meridian, ID 83642-8600 | 2008-04-02 |
| 1952599805 | Robin Nelson | Counselor | 366 Sw 5th Ave, Meridian, ID 83642-8600 | 2007-10-04 |
| 1144418088 | Julene Coston | Counselor | 366 Sw 5th Ave, Meridian, ID 83642-8600 | 2007-10-04 |
| 1902953532 | Richard J Patterson | Social Worker | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2007-01-04 |
| 1528120789 | Linda K Thompson | Social Worker | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2006-12-14 |
| 1548339211 | Gayle Jean Detweiler | Physician Assistant | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1750927372 | Restoring Hope Healing From Trauma and Addiction LLC | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-19 |
| 1942864434 | Carissa Ann Barnes | Counselor | 827 W Ashby Dr, Meridian, ID 83646-5695 | 2019-04-30 |
| 1134687809 | Lauren Yoder | Counselor | 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 | 2019-03-12 |
| 1376000943 | Amanda Marie Breneman | Counselor | 235 E Pine Ave, Meridian, ID 83642-2332 | 2019-03-01 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1740767623 | Serena Poland | Counselor | 3019 S Hudspeth Ave, Meridian, ID 83642-4815 | 2018-07-24 |
| 1821574294 | Anna Krzemieniecki | Counselor | 1406 N Main St Ste 203, Meridian, ID 83642-1746 | 2018-07-18 |
| 1972011062 | Ebone Shania Newton | Counselor | 2803 North Hills Street, Meridian, MS 35459 | 2018-01-11 |
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| Find all providers in MERIDIAN | ||||
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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.