EMMETT FAMILY SERVICES, LLC (NPI# 1225107923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225107923 |
| Entity Type | Organization |
| Organization Name | EMMETT FAMILY SERVICES, LLC |
| Other Organization Name | PAYETTE FAMILY SERVICES |
| Practice Address |
2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 |
| Practice Telephone | 2083655445 |
| Practice Fax Number | 2083656226 |
| Mailing Telephone | 2083655445 |
| Mailing Fax Number | 2083656226 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | MR. MICHAEL S LEE (CO-OWNER) |
| Authorized Official Telephone | 2083655445 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | NA | Agencies | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807378100 | 05 | |
| ID | 806582400 | 05 | |
| ID | 806575100 | 05 | |
| ID | 807346400 | 05 | |
| ID | 806586200 | 05 | |
| ID | 807360700 | 05 | |
| ID | 806598900 | 05 |
| Other Name | Type Code |
|---|---|
| Payette Family Services | Doing Business As Name - Organization |
| Street Address |
2007 E QUAIL RUN RD SUITE 1 |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124527312 | Anne Elizabeth Harrison | Social Worker | 2007 E Quail Run Rd, Emmett, ID 83617-5059 | 2018-02-02 |
| 1336697366 | Shane Weideman | Counselor | 2007 E Quail Run Rd, Emmett, ID 83617-5059 | 2016-09-19 |
| 1275932220 | Emmett Counseling and Psychiatric Services | Clinic/Center | 2007 E Quail Run Rd, Ste 1, Emmett, ID 83617-5059 | 2014-08-15 |
| 1518394006 | Mandy Lynn Mitchell Hopwood | Social Worker | 2007 E Quail Run Rd, Suite #1, Emmett, ID 83617-5059 | 2013-09-30 |
| 1538593546 | Teresa Anne Heald | Social Worker | 2007 E Quail Run Rd, Emmett, ID 83617-5059 | 2013-08-27 |
| 1992007249 | Emmett Counseling and Psychiatric Services, LLC | Clinic/Center | 2007 E Quail Run Rd, Suite 1, Emmett, ID 83617-5059 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1861702011 | Family Services, Pllc | Social Worker | 2007 E Quail Run Rd Ste 2, Emmett, ID 83617-5059 | 2010-10-20 |
| 1326368655 | Evelynn L. Horton | Social Worker | 113 N Commercial Ave, Emmett, ID 83617-2919 | 2010-06-09 |
| 1285963223 | Luther Ryan Hale | Social Worker | 2640 W Southslope Rd, Emmett, ID 83617-8800 | 2009-12-22 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| 1518394006 | Mandy Lynn Mitchell Hopwood | Social Worker | 2007 E Quail Run Rd, Suite #1, Emmett, ID 83617-5059 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1073135851 | Kimberly Ruth Carey | Social Worker | 6160 Dallas Ln, Bonners Ferry, ID 83805-9794 | 2020-05-14 |
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1922627314 | Taresa Dawn Crow | Social Worker | 3655 Samuel St, Ammon, ID 83406-7822 | 2020-04-15 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| 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.