Organization Active NPI

Courage to Talk Therapeutic Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1265201073
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC
Practice address
1883 Wildwood St Ste G
Boise, ID 83713-5146
Phone
(208) 484-0920
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Heidi Senethavilay, LPCNPI 1669825709
Title
Owner
Phone
(208) 484-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1883 Wildwood St Ste G
Boise, ID 83713-5146

Mailing address

4954 N Wild Goose Way
Meridian, ID 83646-5988
Phone (208) 484-0920

National Provider Directory

National Provider Directory
Tax ID family
Courage to Talk Therapeutic Counseling Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1883 N Wildwood St
Ste G
Boise, ID 83713
Phone (208) 484-0920

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1265201073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N WILD GOOSE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465988",
            "telephone_number": "208-484-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 WILDWOOD ST STE G",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135146",
            "telephone_number": "208-484-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "SENETHAVILAY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-484-0920",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.