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

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, LCSW

Title

Owner

Phone

(208) 345-8861

Specialties & licenses 1

Addresses

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
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• 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.