DEBRA JEAN STACE (NPI# 1548766611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548766611 |
| Entity Type | Individual |
| Full Name | DEBRA JEAN STACE |
| Credential | LMSW |
| Practice Address |
8950 W Emerald St Ste 178 Boise ID 83704-8296 |
| Mailing Address |
4722 Oxbow Pl Boise ID 83713-9504 |
| Practice Telephone | 2083767083 |
| Mailing Telephone | 2085713829 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LMSW-30618 | ID | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW-30618 | ID | Behavioral Health & Social Service Providers |
| Street Address |
8950 W EMERALD ST STE 178 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013313006 | Caitlin Goicoechea | Counselor | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2014-11-18 |
| 1386241990 | Timothy J. Nelson | Social Worker | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-10-06 |
| 1619589926 | Sheila Weaver | Social Worker | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-08-18 |
| 1689299208 | Norma E Martinez | Counselor | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-06-09 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1710509815 | Jx2 LLC | Case Management | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1437771532 | Jx2 LLC | Community/Behavioral Health | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1326680422 | Crossroads Health Idaho LLC | Psychologist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-10-10 |
| 1972165546 | Amy Mckenzie | Counselor | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-07-03 |
| 1144881418 | Sarah E Samson | Counselor | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-06-26 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| 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.