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

Organization subpart

No

Name

Teresa Anne Heald, LCSWNPI 1538593546

Title

Partner and Psychotherapist

Phone

(208) 283-2527

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Anne Heald, LMSW

  • Social Worker
  • Boise, ID
  • NPI 1538593546

  ID

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2022.

{
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.