DR. DAMARIS ELLEN CONRAD (NPI# 1528602828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528602828 |
Entity Type | Individual |
Full Name | DR. DAMARIS ELLEN CONRAD |
Other Name | DR. DAMARIS ELLEN KELLY |
Credential | PHD, LMFT |
Practice Address |
205 S Lancaster Dr Nampa ID 83686-8077 |
Practice Telephone | 2084636366 |
Mailing Telephone | 2084636366 |
Enumeration Date | 2019-10-30 |
Last Update Date | 2019-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | MFT6947 | ID | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | MFT33016 | CA | Behavioral Health & Social Service Providers |
Street Address |
205 S LANCASTER DR |
City | NAMPA |
State | ID |
Zip Code | 83686-8077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
Find all providers in zip 83686 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962830273 | Rachel Young | Marriage & Family Therapist | 1026 W Sanetta St, Nampa, ID 83651-5047 | 2013-10-23 |
1366692790 | Roy Carson Spaulding | Marriage & Family Therapist | 4405 E Flamingo Ave, Nampa, ID 83687-3113 | 2008-09-23 |
1447625850 | Eliane Alabe Deblauw | Marriage & Family Therapist | 223 16th Ave N, Nampa, ID 83653-0009 | 2015-12-10 |
1790163855 | Alicia Simpson | Marriage & Family Therapist | 112 12th Ave Rd, Nampa, ID 83686 | 2015-05-09 |
1598162323 | Rachel Fabbi | Marriage & Family Therapist | 217 W Georgia Ave, Suite 120, Nampa, ID 83686-6811 | 2014-11-21 |
1790964724 | Gisela Woggon | Marriage & Family Therapist | 1009 W Hemingway Blvd, Nampa, ID 83651-1763 | 2007-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467070193 | Lana Elizabeth Bronn | Marriage & Family Therapist | 89 N Main St Ste 204, Driggs, ID 83422-5164 | 2020-07-09 |
1831725902 | Steven Michael Moroney | Marriage & Family Therapist | 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 | 2020-03-20 |
1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
1851819486 | Laura M. Brotherson | Marriage & Family Therapist | Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 | 2017-09-04 |
1972043966 | Jedidiah Dykstra | Marriage & Family Therapist | 1140 American Legion Blvd, Mountain Home, ID 83647-2821 | 2017-02-24 |
1699228577 | Relationship Solutions LLC | Marriage & Family Therapist | 1714 N Quail Run Blvd, Post Falls, ID 83854-6024 | 2016-07-27 |
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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.