JX2 LLC (NPI# 1194962829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194962829 |
Entity Type | Organization |
Organization Name | JX2 LLC |
Other Organization Name | RECOVERY 4 LIFE |
Practice Address |
1253 N Cole Rd Ste 100 Boise ID 83704-8647 |
Practice Telephone | 2083190700 |
Practice Fax Number | 2083215069 |
Mailing Telephone | 2083190700 |
Mailing Fax Number | 2083215069 |
Enumeration Date | 2009-01-16 |
Last Update Date | 2010-08-09 |
Authorized Official Name | MISS AMY JEPPESEN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2083190700 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
ID | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Recovery 4 Life | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
1710509815 | Jx2 LLC | Case Management | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
1437771532 | Jx2 LLC | Community/Behavioral Health | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
1588967020 | Jx2 LLC | Psychologist | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2010-12-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | JX2 LLC | 847 Sherman St, Denver, CO 80203 |
Street Address |
1253 N COLE RD STE 100 |
City | BOISE |
State | ID |
Zip Code | 83704-8647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699055681 | Michelle Colleen Sundquist | Counselor | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2011-08-22 |
1598045585 | Kinsey Elora Nelson | Counselor | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2011-08-22 |
1588967020 | Jx2 LLC | Psychologist | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2010-12-06 |
1811204241 | Richard Steven Matkin | Marriage & Family Therapist | 1253 N Cole Rd, Boise, ID 83704-8647 | 2010-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1699166637 | Access Behavioral Health Services | Clinic/Center | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2015-02-12 |
1427450055 | Ada County Problem Solving Courts | Clinic/Center | 400 N Benjamin Ln, Suite 200, Boise, ID 83704-5094 | 2014-09-26 |
1477994580 | Community Services Counseling | Clinic/Center | 963 S Orchard St, Suite B, Boise, ID 83705-1939 | 2013-07-17 |
1326488388 | Community Services LLC | Clinic/Center | 963 S Orchard St, Suite B, Boise, ID 83705-1939 | 2013-07-04 |
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1912335217 | Lifestyle Changes Counseling | Clinic/Center | 371 Locust St S, Twin Falls, ID 83301-7837 | 2013-10-23 |
1295379865 | High Country Behavioral Health | Clinic/Center | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-11-06 |
1962802462 | A Fresh Start Recovery Services | Clinic/Center | 1123 Blaine St, Caldwell, ID 83605-3835 | 2014-09-03 |
1336553692 | Midvalley Healthcare Pllc | Clinic/Center | 2321 E Gala St, Suite 3, Meridian, ID 83642-7692 | 2014-06-16 |
1396176582 | Badger Inc. | Clinic/Center | 1970 E 17th St, Ste 202, Idaho Falls, ID 83404-8014 | 2013-12-12 |
1992132427 | Tueller Counseling | Clinic/Center | 2275 W Broadway St, Suite G, Idaho Falls, ID 83402-2902 | 2013-09-30 |
1811338148 | Peak Recovery LLC | Clinic/Center | 2423 S Georgia Ave, Caldwell, ID 83605-4477 | 2013-07-15 |
1588003909 | Upper Valley Resource & Counseling Center | Clinic/Center | 1223 S Railroad Ave, Sugar City, ID 83448-5072 | 2013-06-19 |
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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.