Organization Active NPI

Fresh Life Counseling LLC

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1225855463
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRESH LIFE COUNSELING LLC
Practice address
940 E Carol St
Meridian, ID 83646-1825
Phone
(215) 449-8017
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Elizabeth Joy Papac-Adamson, LPC
Title
Owner
Phone
(208) 917-3843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

940 E Carol St
Meridian, ID 83646-1825

Mailing address

940 E Carol St
Meridian, ID 83646-1825
Phone (208) 917-3843

National Provider Directory

National Provider Directory

Locations

940 E Carol St
Meridian, ID 83646
Phone (208) 895-0793

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1225855463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E CAROL ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461825",
            "telephone_number": "208-917-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E CAROL ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461825",
            "telephone_number": "215-449-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "PAPAC-ADAMSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-917-3843",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 3, 2024; 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.