NPIMap

Organization Active NPI

Lifepath Services LLC

Doing business as Lifepath Counseling and Wellness

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1194488346
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFEPATH SERVICES LLC
Doing business as
Lifepath Counseling and Wellness
Practice address
10112 W Overland Rd
Boise, ID 83709-1428
Phone
(208) 780-3900
Fax
(208) 375-2882
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Tiffaney Marie Giles
Title
Owner/Director
Phone
(208) 780-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10112 W Overland Rd
Boise, ID 83709-1428

Mailing address

10112 W Overland Rd
Boise, ID 83709-1428
Phone (208) 780-3900

Other identifiers 1

IdentifierTypeStateIssuer
1477920270MedicaidID

Other names 1

  • Lifepath Counseling and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifepath Supports Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1194488346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "TIFFANEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "208-780-3900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477920270",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifepath Counseling and Wellness",
            "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 Oct 14, 2021; 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.