Active NPI
Enlightened Therapy Solutions LLC
- Adult Mental Health Clinic/Center
- Meridian, ID
National Provider Identifier
1205520830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ENLIGHTENED THERAPY SOLUTIONS LLC
- Practice address
- 100 W Overland Rd Ste 201
Meridian, ID 83642-3053 - Phone
- (208) 957-9517
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Busick
- Title
- Executive Director
- Phone
- (208) 957-9517
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
100 W Overland Rd Ste 201
Meridian, ID 83642-3053
Mailing address
312 N Owyhee St
Boise, ID 83706-2751
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boise, ID
- NPI 1396498200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1205520830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 N OWYHEE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837062751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W OVERLAND RD STE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423053",
"telephone_number": "208-957-9517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTENED THERAPY SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "BUSICK",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "208-957-9517"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.