Greater Mind Integration, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GREATER MIND INTEGRATION, PLLC

Practice address

3350 W Americana Ter Ste 330C
Boise, ID 83706-2547

Phone

(208) 273-3514

Fax

(208) 593-4357

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Tracy Lynn Roe, LCPCNPI 1104059054

Title

Owner/Provider

Phone

(208) 866-3971

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracy Lynn Roe, M.A., L.C.P.C., NCC

  • Professional Counselor
  • Boise, ID
  • NPI 1104059054

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1295559797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N BOGUS BASIN RD APT D103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020976",
            "telephone_number": "208-866-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 330C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062547",
            "telephone_number": "208-273-3514",
            "fax_number": "208-593-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MIND INTEGRATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-866-3971",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton Andrew Gray, BS, MC, LPC
• Laura Gray, MS, LPC
• Molly Elizabeth Gray, PT, DPT
• Tyson N. Gray, DMD
• Nichole Grayson, RPSGT
• Brittney Greco
• Deborah Jane Green-Colby, LMSW
• Brady Green
• Brian H Green, LCSW
• David Charles Green, DDS

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.