Organization Active NPI

Inner Balance Counseling LLC

  • Professional Counselor
  • Nampa, ID
National Provider Identifier
1215222138
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4628 Issued in ID
Legal business name
INNER BALANCE COUNSELING LLC
Practice address
216 12TH Ave Rd
Nampa, ID 83686-5013
Phone
(208) 965-8180
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mr. Joesph A. Bugher, LPC
Title
LLC Manager, Professional Counselor
Phone
(208) 965-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4628 ID Primary

Addresses

Primary practice location

216 12TH Ave Rd
Nampa, ID 83686-5013

Mailing address

216 12TH Ave Rd
Nampa, ID 83686-5013
Phone (208) 965-8180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308003555 ID Part B Supplier - Clinic/Group Practice 8628414950 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

216 12th Ave Rd
Nampa, ID 83686
Phone (208) 880-1928

Practitioners & affiliated clinicians

Practitioners 2

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1215222138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865013",
            "telephone_number": "208-965-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865013",
            "telephone_number": "208-965-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "BUGHER",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LLC MANAGER, PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "208-965-8180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.