MS. ELIZABETH (BETSY) JANE JOHNSON (NPI# 1568769164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568769164 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH (BETSY) JANE JOHNSON |
| Credential | LCPC |
| Practice Address |
6126 W State St Suite 201 Boise ID 83703-2741 |
| Mailing Address |
9503 W Sageberry Dr Boise ID 83709-5104 |
| Practice Telephone | 2084070688 |
| Practice Fax Number | 2083915550 |
| Mailing Telephone | 2084070688 |
| Mailing Fax Number | 2083915550 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-5420 | ID | Behavioral Health & Social Service Providers |
| Street Address |
6126 W STATE ST SUITE 201 |
| City | BOISE |
| State | ID |
| Zip Code | 83703-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588781736 | Suzanne Buchanan | Social Worker | 6126 W State St, Suite 310, Boise, ID 83703-2741 | 2007-03-23 |
| 1275082166 | Elizabeth Bader-hellstrom | Social Worker | 6126 W State St, Suite 310, Boise, ID 83703-2741 | 2016-10-03 |
| 1770918419 | Pamela Harris | Counselor | 6126 W State St, Boise, ID 83703-2741 | 2013-09-12 |
| 1801150404 | Amy S Orlovich | Counselor | 6126 W State St, Boise, ID 83703-2741 | 2012-06-28 |
| 1851683056 | Medina E Blanchet | Dietitian, Registered | 6126 W State St, Ste 208, Boise, ID 83703-2741 | 2011-05-05 |
| 1508168345 | Megan Linz | Social Worker | 6126 W State St, Suite 106, Boise, ID 83703-2741 | 2010-11-30 |
| 1851567929 | Mary Barros-bailey | Rehabilitation Counselor | 6126 W State St, Boise, ID 83703-2741 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on MS. ELIZABETH (BETSY) JANE JOHNSON.
| 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.