VIRGINIA SPACKMAN


Address: 3904 E Flamingo Ave Ste 200, Nampa, ID 83687-3144
Phone: 2086391514

VIRGINIA SPACKMAN (NPI# 1932590221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932590221
Entity Type Individual
Full Name VIRGINIA SPACKMAN
Credential M.ED, LCPC
Practice Address 3904 E Flamingo Ave Ste 200
Nampa
ID 83687-3144
Practice Telephone 2086391514
Practice Fax Number 2086392301
Mailing Telephone 2086391514
Mailing Fax Number 2086392301
Enumeration Date 2015-02-09
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCPC-7553 ID Behavioral Health & Social Service Providers

Office Location

Street Address 3904 E FLAMINGO AVE STE 200
City NAMPA
State ID
Zip Code 83687-3144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437622776 Jynnah Leigh Snow Family Medicine 3904 E Flamingo Ave Ste 200, Nampa, ID 83687 2019-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699307447 Current Physical Therapy Nampa LLC Physical Therapist 16150 N High Desert Street, Nampa, ID 83687 2020-02-10
1356867683 Nampa of Cascadia, LLC Skilled Nursing Facility 900 North Happy Valley Rd, Nampa, ID 83687 2017-08-18
1750828513 Daniel & Max, LLC Optometrist 1600 Karcher Rd, Nampa, ID 83687 2017-01-31
1578965422 Jorge Domingo Reyes Counselor 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 2014-09-23
1619302080 David Lyle Farris Dentist 16548 North Franklin Blvd., Nampa, ID 83687 2013-09-04
1871934547 Ian Zafar Qureshi Internal Medicine 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 2013-07-10
1457696783 Laurel Evans Specialist/Technologist 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 2012-11-27
1750641197 Andrea Patricia Fitzer Nurse Practitioner 4400 E. Flamingo Ave, Nampa, ID 83687 2012-05-18
1679846182 Ivony Case Management Case Management 811 12th Street, Ste. 2, Nampa, ID 83687 2012-02-14
1699043679 Saltzer Medical Group, P.a. Durable Medical Equipment & Medical Supplies 9850 W St Lukes Drive, Nampa, ID 83687 2011-12-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1356959787 Heidi Alyssa Stark Counselor 4024 Ivy Dr, Nampa, ID 83686-8852 2020-07-22
1639701345 Melissa E Funston Counselor 1603 12th Ave Rd. Suite B, Nampa, ID 83686-8368 2020-02-11
1508414608 Stacy Allyn Murray-williams Counselor 320 11th Ave S Ste 205, Nampa, ID 83651-5074 2019-08-31
1043867120 Katie M Coffel Counselor 71 S Belhaven Way, Nampa, ID 83651-7612 2019-08-22
1477013191 Intensive Healing Therapy, LLC. Counselor 10424 Duck Ln, Nampa, ID 83686-9174 2019-03-20
1316480973 Matthew Duane Millican Counselor 123 Mcclure Ave, Nampa, ID 83651-2057 2016-11-29
1174986905 Kathy Edwards Counselor 1010 W Teton Ave, Nampa, ID 83686-9778 2016-03-30
1578965422 Jorge Domingo Reyes Counselor 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 2014-09-23
Find all providers in NAMPA

Competitor

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City NAMPA
Zip Code 83687

Improve Information

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Dataset Information

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.

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