JOURNEY MENTAL HEALTH NAMPA, LLC (NPI# 1235524661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235524661 |
| Entity Type | Organization |
| Organization Name | JOURNEY MENTAL HEALTH NAMPA, LLC |
| Other Organization Name | JOURNEY MENTAL HEALTH NAMPA |
| Practice Address |
4405 E Flamingo Ave Nampa ID 83687-3113 |
| Mailing Address |
3288 E Pine Ave Meridian ID 83642-5922 |
| Practice Telephone | 2088994042 |
| Practice Fax Number | 2088994043 |
| Mailing Telephone | 2089214129 |
| Mailing Fax Number | 2086580153 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | GREGORY DUNKLEY (OWNER) |
| Authorized Official Telephone | 2089214129 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Journey Mental Health Nampa | Doing Business As Name - Organization |
| Street Address |
4405 E FLAMINGO AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366692790 | Roy Carson Spaulding | Marriage & Family Therapist | 4405 E Flamingo Ave, Nampa, ID 83687-3113 | 2008-09-23 |
| 1255890620 | Meghan Nadzam | Counselor | 4405 E Flamingo Ave, Nampa, ID 83687-3113 | 2019-03-15 |
| 1629438965 | Maddison Vincent | Counselor | 4405 E Flamingo Ave, Nampa, ID 83687-3113 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
| 1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
| 1538603667 | Cook Behavioral Health LLC | Community/Behavioral Health | 123 Mcclure Avenue, Nampa, ID 83701 | 2016-12-08 |
| 1104295526 | Apollo Wellness Solutions LLC | Community/Behavioral Health | 606 N Coppertree Dr, Nampa, ID 83651-8810 | 2015-09-15 |
| 1699017806 | About Face Mental Rehabilitation | Community/Behavioral Health | 7421 E Saxton Ln, Nampa, ID 83687-9483 | 2013-03-26 |
| 1356691448 | Assurance Services LLC | Community/Behavioral Health | 2112 W Winterwood Ct, Nampa, ID 83686-5290 | 2012-09-15 |
| 1376823740 | Personal Development | Community/Behavioral Health | 232 2nd St S, Nampa, ID 83651-3709 | 2011-08-17 |
| 1003121021 | Christie Stephenson | Community/Behavioral Health | 847 Parkcentre Way, Suite 5, Nampa, ID 83651-1792 | 2010-08-13 |
| 1790006419 | Healing Scars Counseling Center, LLC | Community/Behavioral Health | 324 Caldwell Blvd Ste G, Nampa, ID 83651-8409 | 2010-06-16 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| 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.