CALM WATERS COUNSELING PLLC (NPI# 1073127791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073127791 |
| Entity Type | Organization |
| Organization Name | CALM WATERS COUNSELING PLLC |
| Practice Address |
10108 W Overland Rd Ste A Boise ID 83709-1428 |
| Practice Telephone | 2083717226 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | DAVID ALLEN MARTIN (OWNER) |
| Authorized Official Telephone | 2083422950 |
| 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 |
|---|---|
| Calm Waters Counseling Peer Support | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698962 | Calm Waters Counseling Pllc | Community/Behavioral Health | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-08-03 |
| 1770193914 | Calm Waters Counseling Pllc | Case Management | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-08-03 |
| 1972141265 | Calm Waters Counseling Pllc | Counselor | 10108 W Overland Rd # A, Boise, ID 83709-1428 | 2019-12-17 |
| 1093045676 | Calm Waters Counseling Pllc | Psychologist | 10103 N Division St, Suite 100, Spokane, WA 99218-1380 | 2010-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CALM WATERS COUNSELING PLLC | 123 W Cascade Way Ste D, Spokane, WA 99208-6070 |
| Street Address |
10108 W OVERLAND RD STE A |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619480068 | Rebekah Alison Hilton | Counselor | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2017-11-08 |
| 1720698962 | Calm Waters Counseling Pllc | Community/Behavioral Health | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-08-03 |
| 1770193914 | Calm Waters Counseling Pllc | Case Management | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 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 |
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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.