Organization Active NPI

Healing by Fire Art Glass Therapy

  • Community/Behavioral Health Agency
  • Kuna, ID
National Provider Identifier
1124774898
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING BY FIRE ART GLASS THERAPY
Doing business as
Healing By Fire Art Glass Therapy
Practice address
12768 S Cloverdale Rd
Kuna, ID 83634-2520
Phone
(208) 353-2838
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Daniel T Ault, LMSWNPI 1437658044
Title
Employee
Phone
(208) 615-9575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12768 S Cloverdale Rd
Kuna, ID 83634-2520

Mailing address

12768 S Cloverdale Rd
Kuna, ID 83634-2520
Phone (208) 353-2838

Other names 1

  • Healing By Fire Art Glass Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1124774898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12768 S CLOVERDALE RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342520",
            "telephone_number": "208-353-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12768 S CLOVERDALE RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342520",
            "telephone_number": "208-353-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BY FIRE ART GLASS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "AULT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "208-615-9575",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing By Fire Art Glass Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.