JENNIFER BURLAGE (NPI# 1639531288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639531288 |
| Entity Type | Individual |
| Full Name | JENNIFER BURLAGE |
| Credential | LMFT |
| Practice Address |
1720 N Westgate Dr Ste A1 Boise ID 83704-7164 |
| Mailing Address |
2613 N 28th St Boise ID 83703-5415 |
| Practice Telephone | 2083340969 |
| Mailing Telephone | 2088671856 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-4810 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1720 N WESTGATE DR STE A1 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548622038 | Martha Boyle Simonson | Registered Nurse | 1720 N Westgate Dr Ste A1, Boise, ID 83704-7164 | 2016-03-23 |
| 1710461025 | Patricia Jean Cash | Registered Nurse | 1720 N Westgate Dr Ste A1, Boise, ID 83704-7164 | 2018-09-21 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114374014 | Lovena Magalsky | Marriage & Family Therapist | 2918 E Eastgate Dr, Boise, ID 83716-6800 | 2016-05-20 |
| 1386024602 | Gemma Utting | Marriage & Family Therapist | 424 N Mobley Dr, Boise, ID 83712-8137 | 2015-06-02 |
| 1063804292 | Jennifer Marie Lamb | Marriage & Family Therapist | 3350 W Americana Ter Ste 320, Boise, ID 83706-2548 | 2015-02-25 |
| 1619236494 | Maribeth Horan | Marriage & Family Therapist | 3228 E. Rivernest Lane, Boise, ID 83706 | 2012-05-14 |
| 1811266265 | Maureen Elizabeth Clahan | Marriage & Family Therapist | 6126 W State St Ste 109, Boise, ID 83703-2741 | 2011-12-14 |
| 1407154396 | Lisa K Hettenhausen | Marriage & Family Therapist | 8400 W Fairview Ave, Boise, ID 83704-8317 | 2011-03-02 |
| 1023242369 | Marcy Lynn Humphrey | Marriage & Family Therapist | 1524 W Hays St Ste 201, Boise, ID 83702-4035 | 2009-05-13 |
| 1952568503 | Gigi L. Debaun | Marriage & Family Therapist | 716 N Orchard St, Suite A, Boise, ID 83706-2035 | 2008-05-21 |
| 1053510636 | Marci M Danielson | Marriage & Family Therapist | 3350 W Americana Ter, Suite 215, Boise, ID 83706-2521 | 2007-07-13 |
| 1154533164 | Suzanna Marie Tillotson | Marriage & Family Therapist | 1701 N Beach St, #2, Boise, ID 83706-1117 | 2007-05-03 |
| 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.