Organization · Type 2 NPI

Case Managers of Idaho, LLC

Mental Health Counselor · Boise, ID

NPI number 1366007775 Active

Practice location

6003 W Overland Rd Ste 201
Boise, ID 83709-3076

Fax (208) 694-6301

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Peer Specialist	175T00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Medical Physician Assistant	363AM0700X	None listed

Mental Health Counselor: Definition to come...

2 other providers at this address

Patrick Kirk, BA, MS, CPSS, CFSPCommunity/Behavioral Health Agency Boise, ID NPI 1770941197
Yahaira Alitzel Tolentino, LMSWSocial Worker Boise, ID NPI 1215787098

Other mental health counselor providers in Boise

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NPI record

NPI: 1366007775
Entity type: Organization (Type 2)
Issued: May 1, 2019
Last updated: May 16, 2024
Status: Active

Other names

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Community Based Services of Idaho · doing business as
Mental Health Counselors of Idaho · doing business as
Peer Support Specialists of Idaho · doing business as
Veteran Community Support Specialists of Idaho · doing business as

Authorized official

Mr. Patrick Kirk
Executive Director
(208) 801-6806

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366007775

Case Managers of Idaho, LLC's National Provider Identifier is 1366007775, issued on May 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on May 16, 2024.