Organization Active NPI

Heart Alchemy LLC

  • Adult Mental Health Clinic/Center
  • Boise, ID
National Provider Identifier
1184336307
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEART ALCHEMY LLC
Practice address
750 E Warm Springs Ave Ste D2
Boise, ID 83712-6475
Phone
(208) 402-8166
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Juli Eileen Johnson, LPCNPI 1023765146
Title
Licensed Professional Counselor
Phone
(208) 402-8166

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

750 E Warm Springs Ave Ste D2
Boise, ID 83712-6475

Mailing address

4092 S Mill Site Ave
Boise, ID 83716-8637
Phone (208) 991-7782

Other names 1

  • Soul Rise Holistic Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

750 E Warm Springs Ave
Ste D2
Boise, ID 83712
Phone (208) 402-8166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1184336307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4092 S MILL SITE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837168637",
            "telephone_number": "208-991-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E WARM SPRINGS AVE STE D2",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126475",
            "telephone_number": "208-402-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART ALCHEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULI",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "208-402-8166",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Rise Holistic Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 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.