Andrea Michele Emmons, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW30993 Issued in ID

Practice address

847 Park Centre Way Ste. 4
Core Counseling Center
Nampa, ID 83646

Phone

(208) 467-2673

Fax

(208) 467-4150

NPI assigned

Jan 24, 2011

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Core Counseling Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
  • NPI 1851661052
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1114222064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARK CENTRE WAY STE. 4",
            "address_2": "CORE COUNSELING CENTER",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-467-2673",
            "fax_number": "208-467-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARK CENTRE WAY STE. 4",
            "address_2": "CORE COUNSELING CENTER",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-467-2673",
            "fax_number": "208-467-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ANDREA",
        "middle_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW30993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255412714",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Academy Nampa
• Megan Grace Ellis, OTR/L
• Kayla Marie Elston
• Nicole Ann Elton, MA
• Emerge Wellness
• Emp Idaho Nampa, LLC (Saint Alphonsus Neighborhood Hospital - South Nampa)
• Empowering Choices Counseling (Empowering Choices)
• Jeffrey Larkin England, PT
• William R England, M.D
• Adam Enock

• Clinical Social Worker in Nampa, ID
• Providers in Nampa, 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 Mar 24, 2017; 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.