IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC BOISE (NPI# 1487784435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487784435 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC BOISE |
| Practice Address |
1720 Westgate Dr Suite B-1 Boise ID 83704-7164 |
| Practice Telephone | 2083340894 |
| Practice Fax Number | 2083340804 |
| Mailing Telephone | 2083340894 |
| Mailing Fax Number | 2083340804 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GINA WESTCOTT (PROGRAM MANAGER) |
| Authorized Official Telephone | 2083340969 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF IDAHO | HW280 | 01 | |
| BLUE SHIELD | 000010018973 | 01 | |
| ID | 0028320 | 05 |
| Street Address |
1720 WESTGATE DR SUITE B-1 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811728 | Charles Terry Priscock | Social Worker | 1720 Westgate Dr, Boise, ID 83704-7164 | 2006-06-20 |
| 1891825824 | Idaho Dept of Health & Welfare Region 4 Cmh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966249 | Idaho Dept of Health & Welfare Cmh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966157 | Idaho Dept of Health & Welfare Amh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1750423216 | Idaho Dept of Health & Welfare Esc Region 4 | Case Management | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-13 |
| 1568502409 | Idaho Dept of Health & Welfare Itp Region 4 | Local Education Agency (LEA) | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502438 | Dale Wilson Counseling and Evaluation | Clinic/Center | 6126 W State St Ste 101, Boise, ID 83703-2741 | 2020-09-10 |
| 1144843285 | Whole Health Counseling LLC | Clinic/Center | 2616 W Jefferson St, Boise, ID 83702-4713 | 2020-05-23 |
| 1033740865 | Jackie Nelson, Pllc | Clinic/Center | 202 N 9th St Ste 401c, Boise, ID 83702-5770 | 2020-01-30 |
| 1073891917 | Access Behavioral Health Services Inc. | Clinic/Center | 11295 W Abram Dr, Boise, ID 83713-6013 | 2011-07-26 |
| 1871799056 | Community Health Clinics Inc | Clinic/Center | 848 La Cassia Dr, Boise, ID 83705-2253 | 2007-06-25 |
| 1922669373 | Blue Hummingbird Counseling & Wellness LLC | Clinic/Center | 1524 W Hays St Ste 201, Boise, ID 83702-4035 | 2019-06-26 |
| 1730742016 | Kimberly Hinrichs Pllc | Clinic/Center | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-22 |
| 1922582501 | Integrity Psychiatric Services, LLC | Clinic/Center | 5440 W Franklin Rd Ste 108, Boise, ID 83705-6433 | 2018-09-19 |
| 1477049492 | Idaho Trauma Therapy LLC | Clinic/Center | 6126 W State St Ste 109, Boise, ID 83703-2741 | 2018-07-02 |
| 1821376773 | Access Behavioral Health Services | Clinic/Center | 1276 W River St Ste 100, Boise, ID 83702-7083 | 2011-07-26 |
| 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.