BEVERLY JEAN HINES (NPI# 1316347057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316347057 |
| Entity Type | Individual |
| Full Name | BEVERLY JEAN HINES |
| Credential | MS, LPC |
| Practice Address |
5999 W State St Suite B Boise ID 83703-5059 |
| Practice Telephone | 2088535095 |
| Practice Fax Number | 2088535125 |
| Mailing Telephone | 2088535095 |
| Mailing Fax Number | 2088535125 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-5574 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588037709 | Beverly Hines | Case Management | 1617 Melinda Ln, Midwest City, OK 73130-1123 | 2015-11-10 |
| 1053389189 | Beverly Kay Hines | Registered Nurse | 722 Newton Rd, Troy, OH 45373-3008 | 2006-03-14 |
| Street Address |
5999 W STATE ST SUITE B |
| City | BOISE |
| State | ID |
| Zip Code | 83703-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669401311 | Kathy Matlock Tidwell | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2006-07-02 |
| 1942768676 | Amanda Rae Belzer Reedy | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2019-03-12 |
| 1124526249 | Matthew Hallowell | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2018-01-23 |
| 1568999092 | Lydia Ruth Blackwell | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2017-05-15 |
| 1326580994 | Ivy Truc Nguyen | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2016-11-14 |
| 1982153284 | Annaliese Jacobsson | Counselor | 5999 W State St, Boise, ID 83703-5059 | 2016-09-27 |
| 1760891063 | Tidwell Social Work Services and Consulting, Inc. | Counselor | 5999 W State St, Boise, ID 83703-5059 | 2014-08-12 |
| 1184057093 | Shirlene M Elledge | Social Worker | 5999 W State St, Boise, ID 83703-5059 | 2013-08-14 |
| 1164778478 | Greg Jay Watson | Counselor | 5999 W State St, Boise, ID 83703-5059 | 2012-07-24 |
| 1437435948 | Ramatoulie Deen | Social Worker | 5999 W State St, Suite B, Boise, ID 83703-5059 | 2011-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1972138485 | Lesha Renee Brandt | Counselor | 7950 Horseshoe Bend Rd, Boise, ID 83714-3809 | 2020-03-04 |
| 1235783564 | Stephanie Therese Breitenstein | Counselor | 4310 W Clark St, Boise, ID 83705-2024 | 2019-07-25 |
| 1124687520 | Something Different Counseling LLC | Counselor | 6126 W State St # 409, Boise, ID 83703-2741 | 2019-06-10 |
| 1548727118 | Elsa Francis Willis | Counselor | 190 E Front St Apt 420, Boise, ID 83702-7316 | 2019-03-01 |
| 1841763778 | Jana Lyn Taylor | Counselor | 2928 S Mayflower Way, Boise, ID 83709-8567 | 2019-01-03 |
| 1417436601 | Laura Burdette | Counselor | 4696 W Overland Rd Ste 168, Boise, ID 83705-2878 | 2018-08-09 |
| 1114405925 | Garrett Price | Counselor | 17917 N Evanton Way, Boise, ID 83714-5524 | 2018-08-02 |
| 1518457332 | Rebecca Lindsey Gonzales | Counselor | 6625 W Holiday Dr, Boise, ID 83709-2023 | 2018-05-16 |
| 1417445461 | Sarah Harris | Counselor | 10020 W Fairview Ave Ste 204, Boise, ID 83704-8571 | 2018-04-25 |
| 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.