A Family Place PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

A FAMILY PLACE PA

Practice address

6003 W Overland Rd
Ste 101
Boise, ID 83709-3073

Phone

(208) 345-8861

Fax

(208) 345-2077

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jeanne L Melton, LCSWNPI 1619986957

Title

Owner

Phone

(208) 345-8861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne Melton, MSW

  • Social Worker
  • Boise, ID
  • NPI 1619986957
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1043475825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093073",
            "telephone_number": "208-345-8861",
            "fax_number": "208-345-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093073",
            "telephone_number": "208-345-8861",
            "fax_number": "208-345-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FAMILY PLACE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-345-8861",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.