MRS. DEGOLIA MONZELLO JOHNSON (NPI# 1093992794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093992794 |
Entity Type | Individual |
Full Name | MRS. DEGOLIA MONZELLO JOHNSON |
Credential | LMSW |
Practice Address |
4696 W Overland Rd Suite 224 Boise ID 83705-2845 |
Mailing Address |
1355 S Linda Vista Ave Boise ID 83709-1531 |
Practice Telephone | 2083384699 |
Practice Fax Number | 2083224722 |
Mailing Telephone | 2087613593 |
Enumeration Date | 2008-01-24 |
Last Update Date | 2013-04-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | LMSW-25840 | ID | Other Service Providers |
Street Address |
4696 W OVERLAND RD SUITE 224 |
City | BOISE |
State | ID |
Zip Code | 83705-2845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477547370 | Alex Peter Bormann | Psychiatry & Neurology | 4696 W Overland Rd, Suite 228, Boise, ID 83705-2845 | 2005-09-07 |
1255793204 | Satinder Aujla | Marriage & Family Therapist | 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 | 2016-03-28 |
1598135394 | Ability Health and Rehabilitation LLC | Community/Behavioral Health | 4696 W Overland Rd, Suite 236, Boise, ID 83705-2845 | 2015-10-06 |
1558622001 | Michelle Annette Scoville-dorman | Counselor | 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 | 2012-05-31 |
1164723771 | A Better Life Behavioral Health Services, Inc. | Clinic/Center | 4696 W Overland Rd, 236, Boise, ID 83705-2845 | 2010-11-12 |
1407171176 | A Balanced Life Experience | Counselor | 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845 | 2010-04-06 |
1700037819 | Robin L Cogan | Social Worker | 4696 W Overland Rd, Suite 132, Boise, ID 83705-2845 | 2008-10-07 |
1437307378 | Tara J Ryan | Social Worker | 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 | 2008-09-04 |
1972789535 | Ann Jolene Moore | Counselor | 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845 | 2008-01-14 |
1568647881 | Marjorie Bolles | Counselor | 4696 W Overland Rd, 268, Boise, ID 83705-2845 | 2008-01-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
Find all providers in zip 83705 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
Find all providers in BOISE |
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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.