Stages Mental Health, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STAGES MENTAL HEALTH, PLLC

Practice address

804 14TH Ave S
Nampa, ID 83651-4630

Phone

(208) 409-8710

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Dawn R Juker, LCSWNPI 1972958643

Title

Ceo

Phone

(208) 409-8710

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.

• Dawn Ranae Juker, LCSW

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1972958643

  Clinical, ID

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1245952019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 14TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514630",
            "telephone_number": "208-409-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 14TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514630",
            "telephone_number": "208-409-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGES MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "JUKER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-409-8710",
        "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": []
}

• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes West LTD
• St Lukes West LTD
• Craig Stagg, MD
• Judy Ann Stallcop, C.N.A
• Lindsay Stallings
• Robert Andrei Stanciu, LPN
• Michael Logan Standley

• Clinical Social Worker in Nampa, ID
• Providers in Nampa, 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 Sep 16, 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.