EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI# 1740305135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740305135 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. |
| Practice Address |
1408 W Hays St Boise ID 83702-5028 |
| Mailing Address |
425 1st Ave N Great Falls MT 59401-2507 |
| Practice Telephone | 2083452208 |
| Mailing Telephone | 4067613680 |
| Mailing Fax Number | 4067611390 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | MARK SHERMAN (CFO) |
| Authorized Official Telephone | 4067713762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 80761200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558593830 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Early Intervention Provider Agency | 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118 | 2009-08-20 |
| 1730204116 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2007-03-21 |
| 1558486951 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2007-03-21 |
| 1326137381 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 4400 Central Ave, Great Falls, MT 59405-1695 | 2006-10-11 |
| 1386144798 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Hospice Care, Community Based | 425 1st Ave N, Great Falls, MT 59401-2507 | 2018-02-13 |
| 1386959575 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Occupational Therapist | 350 S 400 E, Salt Lake City, UT 84111-2908 | 2010-08-11 |
| 1770715062 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2009-08-20 |
| 1245418300 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2008-01-31 |
| 1861601239 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1607 N Parkcentre Pl, Nampa, ID 83651-1705 | 2007-05-22 |
| 1871624817 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Nursing Care | 425 1st Ave N, Great Falls, MT 59401-2507 | 2007-03-09 |
| Street Address |
1408 W HAYS ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5028 |
| 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 |
| 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 |
| 1679670319 | Gina Wolfe Seybold | Counselor | 1408 W Hays St, Boise, ID 83702 | 2006-09-17 |
| 1528161411 | Daryl A. Bridges | Counselor | 1408 W Hays St, Boise, ID 83702-5028 | 2006-09-06 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1043859002 | Kacey E Mueller | Community/Behavioral Health | 688 N Avenue H Apt 304, Boise, ID 83712-6471 | 2019-12-22 |
| 1407499270 | Acceptance Counseling Services | Community/Behavioral Health | 5440 W Franklin Rd Ste 200, Boise, ID 83705-6434 | 2019-10-23 |
| 1154817021 | Hand In Hand | Community/Behavioral Health | 1830 W Airport Way, Boise, ID 83705-5101 | 2018-07-03 |
| 1982126264 | Brc Mental Health Services | Community/Behavioral Health | 963 S Orchard St Ste 103, Boise, ID 83705-1917 | 2017-07-08 |
| 1689109613 | Mrl Counseling LLC | Community/Behavioral Health | 9442 W Fairview Ave, Boise, ID 83704-8101 | 2017-04-27 |
| 1639601636 | Family Connection, Inc. | Community/Behavioral Health | 7154 W State St # 278, Boise, ID 83714-7421 | 2017-03-29 |
| 1164964045 | Jaimie Cain LLC | Community/Behavioral Health | 2210 N 31st St, Boise, ID 83703-5626 | 2016-11-09 |
| 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.