JEFFERY EDMISTON (NPI# 1407284698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407284698 |
| Entity Type | Individual |
| Full Name | JEFFERY EDMISTON |
| Credential | M.S., LCPC |
| Practice Address |
4144 E Amity Ave Nampa ID 83687-8802 |
| Practice Telephone | 2084654985 |
| Practice Fax Number | 2083180218 |
| Mailing Telephone | 2084654985 |
| Mailing Fax Number | 2083180218 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2014-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LCPC-5607 | ID | Behavioral Health & Social Service Providers |
| Street Address |
4144 E AMITY AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754923 | Mitchell Thomas Smith | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2009-07-28 |
| 1215589296 | Julia Lyn Cdebaca | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2019-07-10 |
| 1588223416 | Laura Ann Adams | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2019-06-13 |
| 1699259481 | Nate Berrian | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2018-09-18 |
| 1053785725 | Justin Ross | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2015-11-18 |
| 1740683846 | Lindsay Ralston | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2014-10-02 |
| 1336541796 | Claudia Mehlhaff | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2014-09-17 |
| 1326479197 | Christen Ashley Nelson | Counselor | 4144 E Amity Ave, Nampa, ID 83687-8802 | 2013-12-04 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924068 | Sarah Marie Powers | Counselor | 1224 1st St S Ste 300, Nampa, ID 83651-3963 | 2019-04-19 |
| 1871005108 | Kathryn R Heydorn | Counselor | 7714 E Willard Dr, Nampa, ID 83687-8252 | 2017-10-26 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1356626998 | Bonnie Kay Benson | Counselor | 430 W Iowa Ave Ste B, Nampa, ID 83686-2826 | 2011-10-14 |
| 1770609133 | Deborah Wellman | Counselor | 228 12th Ave Rd, Nampa, ID 83686-5013 | 2007-03-21 |
| 1174681043 | Karen Meliza Whittaker | Counselor | 17 12th Avenue So, Suite 204, Nampa, ID 83681 | 2006-12-04 |
| 1912966730 | Britney Journee | Counselor | 207 16th Avenue North, Nampa, ID 83653-0009 | 2006-03-21 |
| 1780201004 | Gabrielle Davis | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-02 |
| 1649896762 | Marisa Ariel Ayala | Counselor | 123 N Yale St, Nampa, ID 83651-2340 | 2020-06-24 |
| 1952925604 | Tylar Swanson | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-05-28 |
| 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.