GWENDOLYN GAUSE (NPI# 1205220027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205220027 |
| Entity Type | Individual |
| Full Name | GWENDOLYN GAUSE |
| Credential | BA/CPRP |
| Practice Address |
1276 W River St Ste100 Boise ID 83702-7066 |
| Practice Telephone | 2083384699 |
| Practice Fax Number | 2083224722 |
| Mailing Telephone | 2083384699 |
| Mailing Fax Number | 2083224722 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ID | Behavioral Health & Social Service Providers |
| Street Address |
1276 W RIVER ST STE100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679641336 | Amy Lynn Roberts | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2006-12-01 |
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1043704414 | Tyler Daniel Lobb | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2018-06-19 |
| 1952752297 | Sara Buffington | Counselor | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2016-06-28 |
| 1245684927 | Jeremy Wayne Irvin | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2016-04-19 |
| 1720451230 | Melissa Gryder | Social Worker | 1276 W River St, Boise, ID 83702-7066 | 2015-11-05 |
| 1629458914 | Shell Wamble-fisher | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2015-06-02 |
| 1235536558 | Sarah Ann Johnson | Social Worker | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-12-02 |
| 1932506508 | Access Behavioral Health Services, Inc | Clinic/Center | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-11-26 |
| 1609275825 | Ray Allen Ward | Counselor | 1276 W River St, Suite 100, Boise, ID 83702-7066 | 2014-08-14 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| 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.