Organization Active NPI

Dave Liddle & Associates

  • Addiction (Substance Use Disorder) Counselor
  • Boise, ID
National Provider Identifier
1295198240
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DAVE LIDDLE & ASSOCIATES
Practice address
600 N Curtis Rd
Suite 201
Boise, ID 83706-1449
Phone
(208) 424-3189
Fax
(208) 424-0133
NPI assigned
Mar 29, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Ms. Amy Colleen Salisbury, CADC
Title
Executive Director
Phone
(208) 424-3189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ID Primary

Addresses

Primary practice location

600 N Curtis Rd
Suite 201
Boise, ID 83706-1449

Mailing address

600 N Curtis Rd
Suite 201
Boise, ID 83706-1449
Phone (208) 424-3189

National Provider Directory

National Provider Directory

Locations

600 N Curtis Rd
Ste 201
Boise, ID 83706
Phone (208) 424-3189

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1295198240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CURTIS RD",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061449",
            "telephone_number": "208-424-3189",
            "fax_number": "208-424-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CURTIS RD",
            "address_2": "SUITE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061449",
            "telephone_number": "208-424-3189",
            "fax_number": "208-424-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE LIDDLE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-424-3189",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "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 Mar 29, 2016; 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.