Organization Active NPI

Room to Breathe Counseling

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1053701409
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-3200 Issued in ID
Legal business name
ROOM TO BREATHE COUNSELING
Practice address
1020 W Franklin St
Boise, ID 83702-5400
Phone
(208) 890-3593
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Sally Cleary, LPC
Title
Owner
Phone
(208) 890-3593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC-3200 ID Primary

Addresses

Primary practice location

1020 W Franklin St
Boise, ID 83702-5400

Mailing address

11083 W Springgold Dr
Boise, ID 83709-6393
Phone (208) 890-3593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1053701409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11083 W SPRINGGOLD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096393",
            "telephone_number": "208-890-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FRANKLIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025400",
            "telephone_number": "208-890-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOM TO BREATHE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-890-3593",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-3200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.