ALL SEASONS MENTAL HEALTH (NPI# 1538721014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538721014 |
| Entity Type | Organization |
| Organization Name | ALL SEASONS MENTAL HEALTH |
| Practice Address |
6933 W Emerald St Boise ID 83704-8616 |
| Practice Telephone | 2083210634 |
| Practice Fax Number | 2083211082 |
| Mailing Telephone | 2083210634 |
| Mailing Fax Number | 2083211082 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MATT W SCURI (CEO) |
| Authorized Official Telephone | 2083210634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1265565477 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366747172 | All Seasons Mental Health | Community/Behavioral Health | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2011-01-26 |
| 1861637423 | All Seasons Mental Health | Case Management | 8050 W Rifleman St # 100, Boise, ID 83704-9000 | 2008-12-11 |
| 1730333030 | All Seasons Mental Health | Physician Assistant | 8050 W Rifleman St # 100, Boise, ID 83704-9000 | 2008-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALL SEASONS MENTAL HEALTH | 6933 W Emerald St, Boise, ID 83704-8616 |
| Street Address |
6933 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336193598 | Angela K. Hughes | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2006-05-20 |
| 1629699251 | Darcy Renee Evans | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2020-05-05 |
| 1356973499 | Stephanie Marie Gallegos | Social Worker | 6933 W Emerald St, Boise, ID 83704-8616 | 2020-02-06 |
| 1871069708 | Patricia Marie Davis | Social Worker | 6933 W Emerald St, Boise, ID 83704-8616 | 2018-10-18 |
| 1649645938 | Michelle Lee Chin | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2015-12-11 |
| 1710386396 | Shannon Binder | Nurse Practitioner | 6933 W Emerald St, Boise, ID 83704-8616 | 2014-08-19 |
| 1285767574 | All Horizons Inc | Counselor | 6933 W Emerald St, Boise, ID 83704-8616 | 2007-03-14 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1043860919 | Stephanie Coulter | Peer Specialist | 2200 W Fairview Ave, Boise, ID 83702-6808 | 2019-09-12 |
| 1881157949 | Lacey Megorden | Peer Specialist | 4222 W Emerald St, Boise, ID 83706-2037 | 2019-04-07 |
| 1235613688 | Devin R Pugmire | Peer Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2018-09-21 |
| 1255793659 | Michele Hickman | Peer Specialist | 1720 N Westgate Dr, Boise, ID 83704-7164 | 2016-03-24 |
| 1255719092 | Matthew Caleb Weaver | Peer Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1962033399 | Lookout Behavioral Health LLC | Peer Specialist | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-04 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| 1700425600 | Center Counseling, LLC | Peer Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-26 |
| 1093351520 | Rawlings Community Counseling | Peer Specialist | 6807 Cody St, Bonners Ferry, ID 83805-8613 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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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.