MARY NELLE WHITENACK (NPI# 1487870804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487870804 |
| Entity Type | Individual |
| Full Name | MARY NELLE WHITENACK |
| Credential | LCPC |
| Practice Address |
10798 W Overland Rd Boise ID 83709-1329 |
| Practice Telephone | 2083773368 |
| Practice Fax Number | 2083224691 |
| Mailing Telephone | 2083773368 |
| Mailing Fax Number | 2083224691 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LCPC77 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144367814 | Mary Whitenack | Physical Therapist | 890 N Cole Rd, Suite A, Boise, ID 83704-8638 | 2007-01-31 |
| Street Address |
10798 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221932 | Jon R Fox | Physician Assistant | 10798 W Overland Rd, Boise, ID 83709 | 2006-02-01 |
| 1083123277 | Elizabeth B Judy | Physician Assistant | 10798 W Overland Rd, Boise, ID 83709-1329 | 2017-09-20 |
| 1356883326 | Boise Family Medicine, LLC | Family Medicine | 10798 W Overland Rd, Boise, ID 83709-1329 | 2016-11-08 |
| 1134671894 | Cody J Scrivner | Physician Assistant | 10798 W Overland Rd, Boise, ID 83709-1329 | 2016-10-28 |
| 1285986778 | Tara J Brumpton | Physician Assistant | 10798 W Overland Rd, Boise, ID 83709-1329 | 2012-10-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1457975781 | Nikhail Sinea Maestas | Counselor | 3649 N Lakeharbor Ln, Boise, ID 83703-6913 | 2020-06-02 |
| 1750930277 | Julie Anne Meza | Counselor | 8691 W Mediterranean Ct, Boise, ID 83709-2600 | 2019-09-06 |
| 1396203212 | Ofelia Z Andrews | Counselor | 930 N Maple Grove Rd Apt D302, Boise, ID 83704-8284 | 2019-03-10 |
| 1497254783 | Hillary Dawn Cook | Counselor | 6126 W State St # 202, Boise, ID 83703-2741 | 2018-02-02 |
| 1730602962 | Alyssa Peters | Counselor | 1655 W Fairview Ave Ste 115, Boise, ID 83702-5173 | 2017-07-19 |
| 1942722707 | Traci Johnston | Counselor | 500 W Idaho St Ste 201, Boise, ID 83702-5755 | 2017-07-13 |
| 1043751431 | Robert Deines | Counselor | 11960 W Bowmont St, Boise, ID 83713-6601 | 2017-03-17 |
| 1407209497 | Katey Stroud Clark | Counselor | 2995 N Cole Rd Ste 225, Boise, ID 83704-5966 | 2016-07-14 |
| 1962851444 | Tobin Chambers Baldwin | Counselor | 3350 W Americana Ter Ste 210b, Boise, ID 83706-2521 | 2016-06-06 |
| 1215398524 | Brandi Bechtel | Counselor | 3003 N Overlook Rd, Apt 26, Boise, ID 83704-6278 | 2016-03-14 |
| 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.