COURTNEY WAMBEKE (NPI# 1811241748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811241748 |
Entity Type | Individual |
Full Name | COURTNEY WAMBEKE |
Practice Address |
1031 W Sanetta St Nampa ID 83651-5047 |
Practice Telephone | 2084420429 |
Mailing Telephone | 2084420429 |
Enumeration Date | 2012-10-30 |
Last Update Date | 2015-06-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 172V00000X | Community Health Worker | Other Service Providers | ||
Y | 251S00000X | Community/Behavioral Health | LPC-5855 | ID | Agencies |
Street Address |
1031 W SANETTA ST |
City | NAMPA |
State | ID |
Zip Code | 83651-5047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447387964 | Molly C Collins | Counselor | 1031 W Sanetta St, Nampa, ID 83651 | 2007-02-28 |
1750991469 | Shatae Mullins | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-08-06 |
1508484312 | Pete Serra | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-08 |
1780201004 | Gabrielle Davis | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-02 |
1588281950 | Lindsay Wright | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-07-01 |
1952925604 | Tylar Swanson | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-05-28 |
1508493941 | Prianka Naomi Maharaj | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-03-25 |
1871123992 | Erika Wainaina | Social Worker | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2020-01-16 |
1538714852 | Nicole Sundstrom | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-08-04 |
1033779236 | Alba Rosa Williams | Counselor | 1031 W Sanetta St, Nampa, ID 83651-5047 | 2019-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
Find all providers in zip 83651 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
1538603667 | Cook Behavioral Health LLC | Community/Behavioral Health | 123 Mcclure Avenue, Nampa, ID 83701 | 2016-12-08 |
1104295526 | Apollo Wellness Solutions LLC | Community/Behavioral Health | 606 N Coppertree Dr, Nampa, ID 83651-8810 | 2015-09-15 |
1699017806 | About Face Mental Rehabilitation | Community/Behavioral Health | 7421 E Saxton Ln, Nampa, ID 83687-9483 | 2013-03-26 |
1356691448 | Assurance Services LLC | Community/Behavioral Health | 2112 W Winterwood Ct, Nampa, ID 83686-5290 | 2012-09-15 |
1376823740 | Personal Development | Community/Behavioral Health | 232 2nd St S, Nampa, ID 83651-3709 | 2011-08-17 |
1003121021 | Christie Stephenson | Community/Behavioral Health | 847 Parkcentre Way, Suite 5, Nampa, ID 83651-1792 | 2010-08-13 |
1790006419 | Healing Scars Counseling Center, LLC | Community/Behavioral Health | 324 Caldwell Blvd Ste G, Nampa, ID 83651-8409 | 2010-06-16 |
1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
Find all providers in NAMPA |
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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.