MR. STEPHEN B NELSON (NPI# 1215362009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215362009 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN B NELSON |
| Credential | LCPC |
| Practice Address |
524 S 9th Ave Ste 103 Caldwell ID 83605-5072 |
| Mailing Address |
Po Box 1523 Meridian ID 83680-1523 |
| Practice Telephone | 2084542144 |
| Practice Fax Number | 2084542144 |
| Mailing Telephone | 2089917508 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-5279 | ID | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | LCPC-6320 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LCPC-6320 | 05 | |
| ID | LPC-5279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232706 | Stephen Nelson | Acupuncturist | 3167 Kalamazoo Ave Se Ste 205, Grand Rapids, MI 49508-1475 | 2020-07-09 |
| 1982051694 | Stephen Nelson | Counselor | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | 2016-05-23 |
| 1396177499 | Stephen John Nelson | Family Medicine | 7404 Xerxes Ave S, Edina, MN 55423-3541 | 2013-07-31 |
| 1730524315 | Stephen John Nelson | Pathology | 1021 Jim Keene Blvd, District 10 Medical Examiner, Winter Haven, FL 33880-8010 | 2013-05-08 |
| 1457440588 | Stephen F Nelson | Social Worker | 1000 North 16th Street, Suite G-10, New Castle, IN 47362-4319 | 2006-10-12 |
| 1871501718 | Stephen Wayne Nelson | Dentist | 235 N San Mateo Dr, #200, San Mateo, CA 94401-2672 | 2006-08-04 |
| 1497787741 | Stephen Lewis Nelson Jr. | Pediatrics | 4720 S I-1-10 Service Rd Suite 401, Metarie, LA 70001 | 2006-07-07 |
| 1861023806 | Stephen William Nelson | Social Worker | 601 Memorial Dr, Chicopee, MA 01020-5067 | 2020-01-29 |
| 1992241947 | Stephen Nelson | Social Worker | 5755 N Point Pkwy, Suite 51, Alpharetta, GA 30022-1142 | 2017-01-15 |
| 1215306428 | Stephen Mark Nelson | Pharmacist | 5400 Fruitville Rd, Sarasota, FL 34232-6403 | 2015-09-17 |
| Street Address |
524 S 9TH AVE STE 103 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396277000 | Kimberly Ann Stockwell | Counselor | 524 S 9th Ave Ste 103, Caldwell, ID 83605-5072 | 2017-03-31 |
| 1386186260 | Rhonda Murray-thomas | Social Worker | 524 S 9th Ave Ste 103, Caldwell, ID 83605-5072 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659823292 | Heather Allum | Counselor | 1609 S Kimball Ave Ste 201, Caldwell, ID 83605-5196 | 2016-10-31 |
| 1790853927 | Jonathan Roy Minkoff | Counselor | 2020 Blaine Street, Caldwell, ID 83605 | 2006-12-04 |
| 1063526754 | John K Bishop | Counselor | 16226 Horizon Dr, Caldwell, ID 83607-8300 | 2006-08-18 |
| 1326066077 | Connie R Benke | Counselor | 2922 Cleveland Blvd, Suite 300, Caldwell, ID 83605-4436 | 2006-07-18 |
| 1174149215 | Kelsey Lynne Blazicevich | Counselor | 923 Grant St, Caldwell, ID 83605-4137 | 2020-06-24 |
| 1194361220 | Rebecca Schreiber | Counselor | 1609 S Kimball Ave Ste 201, Caldwell, ID 83605-5196 | 2019-11-25 |
| 1891347787 | Elizabeth Verona Romero | Counselor | 2609 S 10th Ave Ste 102, Caldwell, ID 83605-6885 | 2019-07-11 |
| 1164082624 | Brianna Dill Glassey | Counselor | 923 Grant St, Caldwell, ID 83605-4137 | 2019-06-17 |
| 1578060695 | Samantha Potts | Counselor | 923 Grant St, Caldwell, ID 83605-4137 | 2018-04-06 |
| 1932602232 | Jessica Rodriguez | Counselor | 923 Grant St, Caldwell, ID 83605-4137 | 2018-03-13 |
| Find all providers in CALDWELL | ||||
Please comment or provide details below to improve the information on MR. STEPHEN B NELSON.
| 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.