TRACEY CAROL BRESKI (NPI# 1780155739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155739 |
| Entity Type | Individual |
| Full Name | TRACEY CAROL BRESKI |
| Credential | LPC-6531 |
| Practice Address |
410 S Orchard St Ste 124 Boise ID 83705-1210 |
| Practice Telephone | 2082688333 |
| Practice Fax Number | 2082466624 |
| Mailing Telephone | 2082688333 |
| Mailing Fax Number | 2082466624 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-6431 | ID | Behavioral Health & Social Service Providers |
| Street Address |
410 S ORCHARD ST STE 124 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047766 | Julie Kay Robinson | Social Worker | 410 S Orchard St Ste 124, Boise, ID 83705-1210 | 2006-12-11 |
| 1235521253 | Merridith Manning | Counselor | 410 S Orchard St Ste 124, Boise, ID 83705-1210 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975781 | Nikhail Sinea Maestas | Counselor | 3649 N Lakeharbor Ln, Boise, ID 83703-6913 | 2020-06-02 |
| 1750930277 | Julie Anne Meza | Counselor | 8691 W Mediterranean Ct, Boise, ID 83709-2600 | 2019-09-06 |
| 1396203212 | Ofelia Z Andrews | Counselor | 930 N Maple Grove Rd Apt D302, Boise, ID 83704-8284 | 2019-03-10 |
| 1497254783 | Hillary Dawn Cook | Counselor | 6126 W State St # 202, Boise, ID 83703-2741 | 2018-02-02 |
| 1730602962 | Alyssa Peters | Counselor | 1655 W Fairview Ave Ste 115, Boise, ID 83702-5173 | 2017-07-19 |
| 1942722707 | Traci Johnston | Counselor | 500 W Idaho St Ste 201, Boise, ID 83702-5755 | 2017-07-13 |
| 1043751431 | Robert Deines | Counselor | 11960 W Bowmont St, Boise, ID 83713-6601 | 2017-03-17 |
| 1407209497 | Katey Stroud Clark | Counselor | 2995 N Cole Rd Ste 225, Boise, ID 83704-5966 | 2016-07-14 |
| 1962851444 | Tobin Chambers Baldwin | Counselor | 3350 W Americana Ter Ste 210b, Boise, ID 83706-2521 | 2016-06-06 |
| 1215398524 | Brandi Bechtel | Counselor | 3003 N Overlook Rd, Apt 26, Boise, ID 83704-6278 | 2016-03-14 |
| 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.