MS. VICTORIA ANN PURVIANCE (NPI# 1699907907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699907907 |
| Entity Type | Individual |
| Full Name | MS. VICTORIA ANN PURVIANCE |
| Credential | LCPC |
| Practice Address |
2151 W Hayden Ave Hayden ID 83835-7414 |
| Practice Telephone | 2086611776 |
| Practice Fax Number | 2086355389 |
| Mailing Telephone | 2086611776 |
| Mailing Fax Number | 2086355389 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OIH | ID | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC 3670 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2151 W HAYDEN AVE |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-7414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801969787 | Makaia Margaret Foster | Midwife | 2151 W Hayden Ave, Su 103, Hayden, ID 83835-7414 | 2006-11-16 |
| 1477152536 | Marisa Bernadette Dunphy | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-20 |
| 1710585138 | Bethany Bloomer | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-16 |
| 1972101855 | Raquel Pura Filipov | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-13 |
| 1073120317 | Body Tech Massage & Wellness | Clinic/Center | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-09-30 |
| 1497394514 | Megan Ellis | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-01-06 |
| 1164067609 | Crystal Lynn Phay | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2019-11-07 |
| 1073158515 | Aubrey Gass | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192510 | George Smiledge | Counselor | 8596 N Wayne Dr Ste A, Hayden, ID 83835-5068 | 2017-08-30 |
| 1386096154 | Shawn Turner | Counselor | 852 E Loch Maree Dr, Hayden, ID 83835-8297 | 2016-07-06 |
| 1346370277 | Mark Dana Bullock | Counselor | 6160 E Hayden Lake Rd, Hayden, ID 83835-7594 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255881 | Gerlyn Danette Walker | Counselor | 414 N Lincoln Ave Ste 1, Jerome, ID 83338-2300 | 2020-11-03 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1437761491 | Bridges Behavioral Health LLC | Counselor | 16810 N Dartmouth Ave, Nampa, ID 83687-3028 | 2020-08-20 |
| 1891307815 | Pointview Counseling LLC | Counselor | 5700 E Franklin Rd Ste 220b, Nampa, ID 83687-7903 | 2020-08-20 |
| 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 |
| 1356959787 | Heidi Alyssa Stark | Counselor | 4024 Ivy Dr, Nampa, ID 83686-8852 | 2020-07-22 |
| 1316563505 | Family Health Services Corporation | Counselor | 607 2nd Ave E, Twin Falls, ID 83301-7128 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.