JX2 LLC (NPI# 1588967020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588967020 |
| Entity Type | Organization |
| Organization Name | JX2 LLC |
| Practice Address |
1253 N Cole Rd Suite 100 Boise ID 83704-8647 |
| Mailing Address |
Po Box 16820 Boise ID 83715-6820 |
| Practice Telephone | 2083190700 |
| Practice Fax Number | 2083215069 |
| Mailing Telephone | 2083239130 |
| Mailing Fax Number | 2083239070 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | JEREMY EVANS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 2083239130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194962829 | Jx2 LLC | Clinic/Center | 1253 N Cole Rd, Ste 100, Boise, ID 83704-8647 | 2009-01-16 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JX2 LLC | 847 Sherman St, Denver, CO 80203 |
| Street Address |
1253 N COLE RD SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194962829 | Jx2 LLC | Clinic/Center | 1253 N Cole Rd, Ste 100, Boise, ID 83704-8647 | 2009-01-16 |
| 1699055681 | Michelle Colleen Sundquist | Counselor | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2011-08-22 |
| 1598045585 | Kinsey Elora Nelson | Counselor | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2011-08-22 |
| 1811204241 | Richard Steven Matkin | Marriage & Family Therapist | 1253 N Cole Rd, Boise, ID 83704-8647 | 2010-09-07 |
| 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 | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680422 | Crossroads Health Idaho LLC | Psychologist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740299262 | Meridian Psychological Center PC | Psychologist | 2770 E Franklin Rd, Meridian, ID 83642-5953 | 2006-08-05 |
| 1285944546 | Ascent Behavioral Health Services | Psychologist | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2010-10-20 |
| 1376850990 | Midvalley Healthcare, Pllc | Psychologist | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2010-09-02 |
Please comment or provide details below to improve the information on JX2 LLC.
| 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.