Jose Luis Arzola Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8911063 Issued in ID

Practice address

6126 W State St Ste 402
Boise, ID 83703-2741

Phone

(208) 406-6565

Fax

(208) 322-1103

NPI assigned

Jun 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Valley Mental HealthGroup PAC ID 3870079759, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Treasure Valley Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1891414173
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1104558337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 W STATE ST STE 402",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032741",
            "telephone_number": "208-406-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 W STATE ST STE 402",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032741",
            "telephone_number": "208-406-6565",
            "fax_number": "208-322-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZOLA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art Dental
• Victoria Arte
• Artisan Pediatric Eyecare LLC
• Chanel Arwine
• Jennifer Arzola, LPC
• Mehrdad Asadifar, M.D.
• ASC Idaho LLC.
• Ascend Medical LLC
• Ascending Mountains Counseling LLC
• Ascent Behavioral Health Services

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.