RUSTY O'LEARY (NPI# 1215155973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215155973 |
| Entity Type | Individual |
| Full Name | RUSTY O'LEARY |
| Other Name | KENNETH O'LEARY |
| Practice Address |
1305 2nd St S Suite 201 Nampa ID 83651-3944 |
| Practice Telephone | 2084630202 |
| Practice Fax Number | 2084630205 |
| Mailing Telephone | 2084630202 |
| Mailing Fax Number | 2084630205 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC-296 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | ID PROFESSIONAL LICENSE | LCPC-296 | 01 |
| Street Address |
1305 2ND ST S SUITE 201 |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043368418 | Mountain States Chemical Dependency and Counseling Services, Inc. | Community/Behavioral Health | 1305 2nd St S, Suite 201, Nampa, ID 83651-3944 | 2007-01-08 |
| 1962883546 | Russell O'leary | Social Worker | 1305 2nd St S, Suite 201, Nampa, ID 83651-3944 | 2015-06-09 |
| 1720428550 | Maureen Kay O'leary | Social Worker | 1305 2nd St S, Suite 201, Nampa, ID 83651-3944 | 2013-06-25 |
| 1760782643 | Mountain States Chemical Dependency and Counseling Services | Clinic/Center | 1305 2nd St S, Suite 201, Nampa, ID 83651-3944 | 2010-10-26 |
| 1114227097 | Mountain States Chemical Dependency and Counseling Services | Clinic/Center | 1305 2nd St S, Suite 201, Nampa, ID 83651-3944 | 2010-10-26 |
| 1023208634 | Human Service Alliance | Case Management | 1305 2nd St S, Nampa, ID 83651-3944 | 2007-07-30 |
| 1063602878 | Human Service Alliance | Case Management | 1305 2nd St S, Nampa, ID 83651-3944 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1548828767 | Terry John Legg | Counselor | 16 12th Ave S Ste 110, Nampa, ID 83651-3962 | 2019-06-03 |
| 1154885796 | Rebekah Davis | Counselor | 4 Ogden Ave, Nampa, ID 83651-2371 | 2019-01-28 |
| 1770052821 | Margaret J Hedelius | Counselor | 17 12th Ave S Ste 201, Nampa, ID 83651-3952 | 2018-11-19 |
| 1689158776 | Curtis Mahan Garner | Counselor | 809 Astor Ave, Nampa, ID 83651-6516 | 2018-09-24 |
| 1841798287 | Stephanie Colleen Staats | Counselor | 1811 E Karcher Rd, Nampa, ID 83687-3000 | 2018-01-31 |
| 1780005934 | Brooke Winston | Counselor | 1312 S Edgewater Cir, Suite #4, Nampa, ID 83686-6086 | 2013-12-13 |
| 1346674751 | Kendra Tamar Pettit | Counselor | 1108 W Finch Dr, Nampa, ID 83651-1732 | 2013-08-21 |
| Find all providers in NAMPA | ||||
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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.