MS. GINA WOLFE SEYBOLD


Address: 1408 W Hays St, Boise, ID 83702
Phone: 2083870778

MS. GINA WOLFE SEYBOLD (NPI# 1679670319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679670319
Entity Type Individual
Full Name MS. GINA WOLFE SEYBOLD
Other Name GINA E WOLFE
Credential LICENSED CLINICAL PR
Practice Address 1408 W Hays St
Boise
ID 83702
Practice Telephone 2083870778
Practice Fax Number 2083367125
Mailing Telephone 2083870778
Mailing Fax Number 2083367125
Enumeration Date 2006-09-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCPC122 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID REGENCE BLUE SHIELD 000010017707 01
ID BLUE CROSS OF ID Q6983 01

Office Location

Street Address 1408 W HAYS ST
City BOISE
State ID
Zip Code 83702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003839184 Terri Turpin Counselor 1408 W Hays St, Boise, ID 83702-5028 2006-07-26
1245841220 Innervision Counseling of Boise Counselor 1408 W Hays St, Boise, ID 83702-5028 2020-08-12
1487207049 Bloom Counseling and Consulting Clinic/Center 1408 W Hays St, Boise, ID 83702-5028 2019-07-22
1700356268 Adrienne Rae Patridge Counselor 1408 W Hays St, Boise, ID 83702-5028 2018-11-27
1801343629 Leslie Lynn Davidson Marriage & Family Therapist 1408 W Hays St, Boise, ID 83702-5028 2016-09-09
1740604529 Jennifer Renee Guzman Counselor 1408 W Hays St, Boise, ID 83702-5028 2014-02-13
1740305135 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1408 W Hays St, Boise, ID 83702-5028 2007-03-21
1174679492 Marilove Challenger Counselor 1408 W Hays St, Boise, ID 83702-5028 2007-01-27
1558429688 Renee Diane Hatten Social Worker 1408 W Hays St, Boise, ID 83702-0000 2006-12-04
1528161411 Daryl A. Bridges Counselor 1408 W Hays St, Boise, ID 83702-5028 2006-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

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.

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