IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE (NPI# 1205966249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205966249 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE CMH CLINIC BOISE |
| Practice Address |
1720 Westgate Dr Suite D Boise ID 83704-7164 |
| Practice Telephone | 2083340792 |
| Practice Fax Number | 2083340812 |
| Mailing Telephone | 2083340792 |
| Mailing Fax Number | 2083340804 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GINA WESTCOTT (PROGRAM MANAGER) |
| Authorized Official Telephone | 2083340969 |
| Authorized Official Credential | M.A, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 000010019129 | 01 | |
| ID | 8075988 | 05 | |
| BLUE CROSS OF IDAHO | HW090 | 01 |
| Street Address |
1720 WESTGATE DR SUITE D |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811728 | Charles Terry Priscock | Social Worker | 1720 Westgate Dr, Boise, ID 83704-7164 | 2006-06-20 |
| 1891825824 | Idaho Dept of Health & Welfare Region 4 Cmh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1487784435 | Idaho Dept of Health & Welfare Amh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966157 | Idaho Dept of Health & Welfare Amh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1750423216 | Idaho Dept of Health & Welfare Esc Region 4 | Case Management | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-13 |
| 1568502409 | Idaho Dept of Health & Welfare Itp Region 4 | Local Education Agency (LEA) | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-08 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952674988 | My Brother's Keeper Mbk | Clinic/Center | 704 S Cole Rd, Boise, ID 83709-1861 | 2012-02-22 |
| 1104048503 | Community Partnerships of Idaho, Inc. | Clinic/Center | 3214 N Acre Ln, Boise, ID 83704-4501 | 2007-05-03 |
| 1265654461 | About Balance Mental Health LLC | Clinic/Center | 6550 Emerald St, Suite 112, Boise, ID 83704 | 2007-05-03 |
| 1598391278 | Incline Mental Health Pllc | Clinic/Center | 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 | 2020-03-13 |
| 1083127740 | A New Approach Counseling LLC | Clinic/Center | 963 S Orchard St, Boise, ID 83705-1939 | 2017-11-15 |
| 1144382797 | North End Children's Health Clinic | Clinic/Center | 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 | 2006-12-13 |
| 1083636914 | Analytic Associates, Pllc | Clinic/Center | 1408 W Hays Street, Boise, ID 83702-5028 | 2006-07-23 |
| 1821059528 | Bcs Pa | Clinic/Center | 5418 N Eagle Rd, Suite 180, Boise, ID 83713 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405945 | Nate Bonovitz Counseling, LLC | Clinic/Center | 1151 E Iron Eagle Dr, Eagle, ID 83616-6854 | 2020-01-02 |
| 1720620750 | Jim Smidt | Clinic/Center | 820 N William St, Post Falls, ID 83854-5123 | 2019-10-10 |
| 1225507668 | Summus Counseling, LLC | Clinic/Center | 211 S Woodruff Ave Ste 13, Idaho Falls, ID 83401-4324 | 2018-11-14 |
| 1750705687 | Answers, LLC | Clinic/Center | 527 W 20th St, Idaho Falls, ID 83402-4421 | 2014-02-12 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1598012700 | Tueller Counseling Services | Clinic/Center | 2275 West Broadway Suite G, Idaho Falls, ID 83402 | 2012-08-07 |
| 1639476294 | Idaho Dept of Health & Welfare Reg 2 Cmh | Clinic/Center | 1350 Troy Highway, Moscow, ID 83843-3995 | 2011-02-17 |
| 1154639714 | Eartherapy | Clinic/Center | 354 W Sunnyside Rd, Suite D, Idaho Falls, ID 83402-4644 | 2010-09-16 |
| 1710019476 | Idaho Dept of Health & Welfare Reg 6 Cmh Bf C | Clinic/Center | 701 E Alice, Blackfoot, ID 83221-0129 | 2007-03-09 |
| 1689688459 | Community Health Clinics Inc | Clinic/Center | 1224 1st St S, Suite 103, Nampa, ID 83651-3900 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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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.