JX2 LLC (NPI# 1790307890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790307890 |
| Entity Type | Organization |
| Organization Name | JX2 LLC |
| Practice Address |
8950 W Emerald St Ste 178 Boise ID 83704-8296 |
| Practice Telephone | 2093767083 |
| Practice Fax Number | 2083215069 |
| Mailing Telephone | 2093767083 |
| Mailing Fax Number | 2083215069 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | HEIDI WILLIAMS (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 2083767083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Recovery4Life | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194962829 | Jx2 LLC | Clinic/Center | 1253 N Cole Rd, Ste 100, Boise, ID 83704-8647 | 2009-01-16 |
| 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 |
| 1588967020 | Jx2 LLC | Psychologist | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2010-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JX2 LLC | 847 Sherman St, Denver, CO 80203 |
| 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 |
| 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 |
| 1417513920 | Angelica Velasco Aceves | Social Worker | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-05-10 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1043860919 | Stephanie Coulter | Peer Specialist | 2200 W Fairview Ave, Boise, ID 83702-6808 | 2019-09-12 |
| 1538721014 | All Seasons Mental Health | Peer Specialist | 6933 W Emerald St, Boise, ID 83704-8616 | 2019-07-03 |
| 1881157949 | Lacey Megorden | Peer Specialist | 4222 W Emerald St, Boise, ID 83706-2037 | 2019-04-07 |
| 1235613688 | Devin R Pugmire | Peer Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2018-09-21 |
| 1255793659 | Michele Hickman | Peer Specialist | 1720 N Westgate Dr, Boise, ID 83704-7164 | 2016-03-24 |
| 1255719092 | Matthew Caleb Weaver | Peer Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| 1700425600 | Center Counseling, LLC | Peer Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-26 |
| 1093351520 | Rawlings Community Counseling | Peer Specialist | 6807 Cody St, Bonners Ferry, ID 83805-8613 | 2019-11-19 |
| 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.