MR. JONATHON JAMES PINGREE (NPI# 1538383054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538383054 |
| Entity Type | Individual |
| Full Name | MR. JONATHON JAMES PINGREE |
| Credential | LCSW |
| Practice Address |
10740 W Fairview Ave Suite 100 Boise ID 83713-7926 |
| Mailing Address |
2080 W Divide Creek St Meridian ID 83642-3426 |
| Practice Telephone | 2083760191 |
| Practice Fax Number | 2086586299 |
| Mailing Telephone | 2083760191 |
| Mailing Fax Number | 2086586299 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-25979 | ID | Behavioral Health & Social Service Providers |
| Street Address |
10740 W FAIRVIEW AVE SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-7926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730279811 | Dennis Orr Nielsen | Social Worker | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2006-10-13 |
| 1639575921 | Tyler Cazier | Student in an Organized Health Care Education/Training Program | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-8021 | 2014-11-13 |
| 1033469119 | Erin Lola Garner | Social Worker | 10740 W Fairview Ave, #100, Boise, ID 83713-8021 | 2012-09-14 |
| 1245591197 | Edene Christensen | Student in an Organized Health Care Education/Training Program | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-8021 | 2012-06-06 |
| 1639495724 | Travis J Turley | Social Worker | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-8021 | 2010-04-14 |
| 1447430053 | Annette L Wheeler | Counselor | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2007-11-12 |
| 1891900064 | Lds Family Services | Counselor | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2007-05-11 |
| 1285846139 | Jami Danielle Harris | Social Worker | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2007-05-04 |
| 1518179571 | Cyndia Kay Glorfield | Counselor | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2007-05-03 |
| 1265653190 | Gregory J Dunkley | Marriage & Family Therapist | 10740 W Fairview Ave, Suite 100, Boise, ID 83713-7926 | 2007-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1528690773 | Marc Adrian Dominguez | Social Worker | 1299 N Orchard St Ste 110, Boise, ID 83706-2266 | 2020-02-06 |
| 1235774407 | Wildflower Intuitive Center, LLC | Social Worker | 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 | 2019-11-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1821550203 | Alturas Counseling | Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-03 |
| 1750859856 | Jani Lynn Belcoe | Social Worker | 3029 N 32nd St, Boise, ID 83703-5001 | 2018-11-06 |
| 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.