Alexandra Evelyn Bope Miongolo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8861353 Issued in ID

Practice address

13477 W Bluebonnet Dr
Boise, ID 83713-1341

Phone

(208) 254-1112

Fax

(208) 254-7014

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Skies Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1174237044
  NPD (past)

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1215623731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13477 W BLUEBONNET DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131341",
            "telephone_number": "208-254-1112",
            "fax_number": "208-254-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13477 W BLUEBONNET DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131341",
            "telephone_number": "208-254-1112",
            "fax_number": "208-254-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPE MIONGOLO",
        "first_name": "ALEXANDRA",
        "middle_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory John Booth, DDS
• Kristi Lyn Booth, OT
• Matthew Ryan Booth, PT
• Kristin G Booton, MS CCC-SLP
• Lisa Andrea Bootsma, CRNA
• Benjamin Bopp, DO
• Ryan Nathaniel Bopp, NP-C
• Laura Margaret Boquette, R.D., CSR, L.D.
• Jarilyn Mae Throne Borchert, LCPC
• Shannon Bordes, FNP-BC, APRN, MSN

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.