ABUNDANT WELLNES CENTER (NPI# 1093036600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093036600 |
| Entity Type | Organization |
| Organization Name | ABUNDANT WELLNES CENTER |
| Practice Address |
1125 E Polston Ave Suite A Post Falls ID 83854-6045 |
| Practice Telephone | 2084571540 |
| Practice Fax Number | 2084571202 |
| Mailing Telephone | 2084571540 |
| Mailing Fax Number | 2084571202 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | MRS. TAMERA LEANN KINGHORN (THERAPIST) |
| Authorized Official Telephone | 4065608100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LCSW28967 | MT | Agencies |
| Street Address |
1125 E POLSTON AVE SUITE A |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518015122 | Acrs, Inc | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2007-01-08 |
| 1992296602 | Joseph Barrett | Case Manager/Care Coordinator | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2018-05-29 |
| 1811401359 | Anna Rose Mcguire | Case Manager/Care Coordinator | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2017-11-20 |
| 1083080949 | Beverly Oh | Counselor | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2015-08-14 |
| 1992197164 | Rebecca Lynn White | Counselor | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2015-02-25 |
| 1013257468 | Patrick Ryan Reed | Physician Assistant | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2013-02-21 |
| 1316273543 | Robyn Suzanne Jamar | Social Worker | 1125 E Polston Ave, Ste. A, Post Falls, ID 83854-6045 | 2009-10-22 |
| 1881828051 | Robert Pierce Sherman Iv | Social Worker | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2009-05-04 |
| 1609010495 | Abundant Wellness Center | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619281 | Access Employment Nw LLC | Community/Behavioral Health | 927 E Polston Ave Ste 202, Post Falls, ID 83854-9390 | 2018-05-15 |
| 1194179853 | River City Counseling, LLC | Community/Behavioral Health | 1362 N Gemstone Pl, Post Falls, ID 83854-5470 | 2016-04-19 |
| 1619268950 | Alternative Community Enrichment Services, Inc | Community/Behavioral Health | 1602 E Seltice Way Ste D, Post Falls, ID 83854-7082 | 2011-04-20 |
| 1518015122 | Acrs, Inc | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2007-01-08 |
| 1437554383 | Amaris Development Group | Community/Behavioral Health | 13559 W Prairie Ave, Post Falls, ID 83854-5935 | 2014-11-04 |
| 1114336237 | Providence Human Services of Wa | Community/Behavioral Health | 1700 E Schneidmiller Ave, Post Falls, ID 83854-7085 | 2014-08-04 |
| 1063703635 | Alternative Community Enrichment Services, Inc | Community/Behavioral Health | 1602 E Seltice Way Ste D, Post Falls, ID 83854-7082 | 2011-04-29 |
| 1508157173 | Alternative Community Enrichment Services, Inc | Community/Behavioral Health | 1602 E Seltice Way Ste D, Post Falls, ID 83854-7082 | 2011-04-29 |
| 1609010495 | Abundant Wellness Center | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
| 1811502313 | Mindful Moments LLC | Community/Behavioral Health | 15636 N Highway 41 Ste 700, Rathdrum, ID 83858-8710 | 2020-09-10 |
| 1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
| 1538779566 | Carolyn Elizabeth Barndt | Community/Behavioral Health | 1302 12th St, Lewiston, ID 83501-2932 | 2020-08-04 |
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1023634672 | Padron Counseling Services, LLC | Community/Behavioral Health | 522 Lomax St, Idaho Falls, ID 83401-2634 | 2020-06-19 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1487283917 | Emma Orthel Therapy, Pllc | Community/Behavioral Health | 210 N 3rd E, Mountain Home, ID 83647-2733 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on ABUNDANT WELLNES CENTER.
| 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.