Jody Sacia LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JODY SACIA LLC

Practice address

2535 W State St Ste 112
Boise, ID 83702-2242

Phone

(608) 286-0662

NPI assigned

May 15, 2024

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jody SaciaNPI 1588359079

Title

Licensed Professional Counselor

Phone

(608) 286-0662

Specialties & licenses 1

Addresses

Locations

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.

• Jody Sacia, MA

  • Mental Health Counselor
  • Garden City, ID
  • NPI 1588359079
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1144079914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 N ADAMS ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837144851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 W STATE ST STE 112",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022242",
            "telephone_number": "608-286-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY SACIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SACIA",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "608-286-0662"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 May 15, 2024; 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.