ANNIE MIKESELL (NPI# 1528580776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528580776 |
| Entity Type | Individual |
| Full Name | ANNIE MIKESELL |
| Credential | MA, LPC |
| Practice Address |
2316 N Cole Rd Boise ID 83704-7365 |
| Mailing Address |
1500 E Heritage Park St Ste 150 Meridian ID 83646-5800 |
| Practice Telephone | 2083232273 |
| Mailing Telephone | 0826310843 |
| Mailing Fax Number | 2089060807 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ID | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-6341 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2316 N COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932160660 | Stephen John Schrader | Counselor | 2316 N Cole Rd, Suite E, Boise, ID 83704 | 2006-03-31 |
| 1164058673 | Katherine Fleming | Social Worker | 2316 N Cole Rd, Boise, ID 83704-7365 | 2020-03-16 |
| 1609410208 | Francieli Elizabeth Altamirano | Social Worker | 2316 N Cole Rd, Boise, ID 83704-7365 | 2019-11-06 |
| 1467994327 | Maria Raass | Counselor | 2316 N Cole Rd, Boise, ID 83704-7365 | 2016-11-09 |
| 1073960795 | Makayla Burkman | Counselor | 2316 N Cole Rd, Boise, ID 83704 | 2016-05-23 |
| 1659732071 | Kristi Skeem | Counselor | 2316 N Cole Rd, Boise, ID 83704-7365 | 2016-03-12 |
| 1427424118 | Nicole Kopp | Counselor | 2316 N Cole Rd, Suite A, Boise, ID 83704-7365 | 2015-08-17 |
| 1023414729 | Samantha Martin | Social Worker | 2316 N Cole Rd, Suite A, Boise, ID 83704-7365 | 2014-11-07 |
| 1154744829 | Anne Kathryn Chapman | Counselor | 2316 N Cole Rd, Ste A, Boise, ID 83704-7365 | 2014-01-30 |
| 1184873952 | Steven A Mauk | Counselor | 2316 N Cole Rd, Boise, ID 83704-7365 | 2008-09-16 |
| 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 | 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.