Abundance Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ABUNDANCE COUNSELING AND WELLNESS LLC

Practice address

4700 N Cloverdale Rd Ste 208
Boise, ID 83713-1068

Phone

(208) 283-2527

Fax

(208) 550-3478

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Anne Heald, LCSWNPI 1538593546

Title

Partner and Psychotherapist

Phone

(208) 283-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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.

• Teresa Anne Heald, LMSW

  • Social Worker
  • Boise, ID
  • NPI 1538593546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1225756760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CLOVERDALE RD STE 208",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131068",
            "telephone_number": "208-283-2527",
            "fax_number": "208-550-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CLOVERDALE RD STE 208",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131068",
            "telephone_number": "208-283-2527",
            "fax_number": "208-550-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HEALD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PARTNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "208-283-2527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 19, 2022; 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.