RECOVERY REFUGE COUNSELING CENTER, LLC (NPI# 1801450259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801450259 |
| Entity Type | Organization |
| Organization Name | RECOVERY REFUGE COUNSELING CENTER, LLC |
| Practice Address |
8100 W Emerald St Ste 180 Boise ID 83704-9069 |
| Mailing Address |
7070 N Hillgard Ave Boise ID 83714-7683 |
| Practice Telephone | 2088596262 |
| Practice Fax Number | 2085672143 |
| Mailing Telephone | 2088596262 |
| Mailing Fax Number | 2085672143 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | JANENE E RAYNE (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2088596262 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | SOCIAL WORK LICENSE | LMSW-34242 | 01 |
| ID | MEDICAL LICENCE | M-6006 | 01 |
| Street Address |
8100 W EMERALD ST STE 180 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134139991 | Jon-eric Baillie | Family Medicine | 8100 W Emerald St Ste 180, Boise, ID 83704 | 2006-08-08 |
| 1649654906 | Janene Rayne | Social Worker | 8100 W Emerald St Ste 180, Boise, ID 83704-9069 | 2015-07-16 |
| 1982037727 | Jon-eric Baillie, Md Pllc | Family Medicine | 8100 W Emerald St Ste 180, Boise, ID 83704 | 2013-08-15 |
| 1538322854 | Briant E. Burke | Family Medicine | 8100 W Emerald St Ste 180, Boise, ID 83704-9069 | 2008-07-07 |
| 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 | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982037727 | Jon-eric Baillie, Md Pllc | Family Medicine | 8100 W Emerald St Ste 180, Boise, ID 83704 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538503693 | Rathdrum Clinic, Inc. | Family Medicine | 14775 N Kimo Ct Ste C, Rathdrum, ID 83858-8762 | 2013-04-19 |
| 1629101928 | David Reed Hadlock | Family Medicine | 496 C Shoup Ave W, Twin Falls, ID 83301-4563 | 2007-03-14 |
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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.