LUCAS STALDER (NPI# 1346661170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346661170 |
| Entity Type | Individual |
| Full Name | LUCAS STALDER |
| Credential | LPC, ACADC |
| Practice Address |
8100 W Emerald St St. 150 Boise ID 83704-9055 |
| Practice Telephone | 2083750752 |
| Practice Fax Number | 2083750796 |
| Mailing Telephone | 2083750752 |
| Mailing Fax Number | 2083750796 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ID | Behavioral Health & Social Service Providers |
| Street Address |
8100 W EMERALD ST ST. 150 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201520 | Mary A Curtis | Clinical Nurse Specialist | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2005-08-09 |
| 1598189821 | Sharon Bennett | Nurse Practitioner | 8100 W Emerald St, Boise, ID 83704-9055 | 2014-02-06 |
| 1972937241 | Joshua Scott Dugger | Counselor | 8100 W Emerald St, #150, Boise, ID 83704-9055 | 2013-08-22 |
| 1184995367 | Affinity Inc | Clinic/Center | 8100 W Emerald St, Ste. 150, Boise, ID 83704-9055 | 2012-01-20 |
| 1083995690 | Personal Development | Community/Behavioral Health | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2011-09-09 |
| 1649590308 | Chad Michael Porter | Social Worker | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2010-06-04 |
| 1831378678 | Shawn Kathleen Jensen | Counselor | 8100 W Emerald St, Ste. 150, Boise, ID 83704-9055 | 2007-10-29 |
| 1275712481 | Blaine Colin Reilly | Counselor | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2007-10-24 |
| 1366631160 | Laura Ann Clark | Social Worker | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2007-10-17 |
| 1578687026 | Affinity Inc. | Case Management | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1508339409 | Joyce Ella Turnboom | Counselor | 3213 N Tamarack Dr, Boise, ID 83703-4543 | 2019-01-03 |
| 1609229012 | Community Services Counseling | Counselor | 963 S Orchard St Ste B, Boise, ID 83705-1962 | 2016-07-20 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| 1386026649 | Erica Ann Lopez | Counselor | 9336 W Chad St, Boise, ID 83709-0558 | 2015-06-23 |
| 1417339730 | Michael Biggins | Counselor | 3804 W Normandie Dr, Boise, ID 83705-4729 | 2015-06-23 |
| 1013313006 | Caitlin Goicoechea | Counselor | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2014-11-18 |
| 1073915534 | Nichole Adele Herold | Counselor | 8950 W. Emerald, Boise, ID 83704-4854 | 2014-09-16 |
| 1346672946 | Janice Andrews | Counselor | 8620 W Emerald St Ste 150, Boise, ID 83704-4839 | 2013-08-06 |
| 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.