Organization Active NPI

Ambers House of Integrative Therapy for All Ages

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1184326142
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AMBERS HOUSE OF INTEGRATIVE THERAPY FOR ALL AGES
Practice address
4090 W State St Ste 103
Boise, ID 83703-4450
Phone
(208) 867-3288
Fax
(888) 730-6010
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Amber Lynn Hoid, LCSWNPI 1922621747
Title
Owner/Therapist
Phone
(208) 867-3288

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4090 W State St Ste 103
Boise, ID 83703-4450

Mailing address

10177 W Canterbury Dr
Boise, ID 83704-5319
Phone (208) 867-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328001763 ID Part B Supplier - Clinic/Group Practice 2365816626 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

4090 W State St
Ste 103
Boise, ID 83703
Phone (208) 867-3288

4090 W State St
Ste 109
Boise, ID 83703
Phone (208) 867-3288

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1184326142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 W CANTERBURY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045319",
            "telephone_number": "208-867-3288",
            "fax_number": "888-730-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W STATE ST STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034450",
            "telephone_number": "208-867-3288",
            "fax_number": "888-730-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERS HOUSE OF INTEGRATIVE THERAPY FOR ALL AGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HOID",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-867-3288",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.