MERRIDITH MANNING (NPI# 1235521253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235521253 |
| Entity Type | Individual |
| Full Name | MERRIDITH MANNING |
| Credential | LMFT |
| Practice Address |
410 S Orchard St Ste 124 Boise ID 83705-1210 |
| Mailing Address |
16312 N Loper St Nampa ID 83651-8066 |
| Practice Telephone | 2085769239 |
| Mailing Telephone | 2085769239 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6546 | ID | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 98777 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 6546 | ID | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1287 Fulton Rd, Santa Rosa, CA 954014923 | 7078007700 |
| Street Address |
410 S ORCHARD ST STE 124 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047766 | Julie Kay Robinson | Social Worker | 410 S Orchard St Ste 124, Boise, ID 83705-1210 | 2006-12-11 |
| 1780155739 | Tracey Carol Breski | Counselor | 410 S Orchard St Ste 124, Boise, ID 83705-1210 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114374014 | Lovena Magalsky | Marriage & Family Therapist | 2918 E Eastgate Dr, Boise, ID 83716-6800 | 2016-05-20 |
| 1386024602 | Gemma Utting | Marriage & Family Therapist | 424 N Mobley Dr, Boise, ID 83712-8137 | 2015-06-02 |
| 1063804292 | Jennifer Marie Lamb | Marriage & Family Therapist | 3350 W Americana Ter Ste 320, Boise, ID 83706-2548 | 2015-02-25 |
| 1619236494 | Maribeth Horan | Marriage & Family Therapist | 3228 E. Rivernest Lane, Boise, ID 83706 | 2012-05-14 |
| 1811266265 | Maureen Elizabeth Clahan | Marriage & Family Therapist | 6126 W State St Ste 109, Boise, ID 83703-2741 | 2011-12-14 |
| 1407154396 | Lisa K Hettenhausen | Marriage & Family Therapist | 8400 W Fairview Ave, Boise, ID 83704-8317 | 2011-03-02 |
| 1023242369 | Marcy Lynn Humphrey | Marriage & Family Therapist | 1524 W Hays St Ste 201, Boise, ID 83702-4035 | 2009-05-13 |
| 1952568503 | Gigi L. Debaun | Marriage & Family Therapist | 716 N Orchard St, Suite A, Boise, ID 83706-2035 | 2008-05-21 |
| 1053510636 | Marci M Danielson | Marriage & Family Therapist | 3350 W Americana Ter, Suite 215, Boise, ID 83706-2521 | 2007-07-13 |
| 1154533164 | Suzanna Marie Tillotson | Marriage & Family Therapist | 1701 N Beach St, #2, Boise, ID 83706-1117 | 2007-05-03 |
| 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.