LZ Behavioral Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LZ BEHAVIORAL HEALTH, LLC

Practice address

6142 W Corporal LN
Boise, ID 83704-9316

Phone

(208) 614-0734

Fax

(208) 649-2805

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Tara Lzicar, LCPCNPI 1740605112

Title

Owner

Phone

(208) 614-0734

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

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

• Tara Lzicar, LCPC

  • Professional Counselor
  • Boise, ID
  • NPI 1740605112
  Medicare reassignment NPD Authorized official
• Julie Hatfield, LCSW

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1790237279
  Medicare reassignment NPD
• Jennafer Hofman, LPC

  • Professional Counselor
  • Meridian, ID
  • NPI 1487384434
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1235693284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7251",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837071251",
            "telephone_number": "208-614-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 W CORPORAL LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049316",
            "telephone_number": "208-614-0734",
            "fax_number": "208-649-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LZ BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "LZICAR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-614-0734",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene C. Lyons, PT
• George R Lyons, MD
• Sarah Lyter, LPC5904
• Amy Lytle
• Ryan F Lytle, PHARMD
• Tara Lzicar, LCPC
• M Fisher PC
• Kevin Maas, M.D.
• Elena Maria Mabanta, LPC
• Debra Alice Mabbutt, M.S.; PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.