Emily Pantaleo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-40624 Issued in ID

Practice address

1031 W Sanetta St
Nampa, ID 83651-5047

Phone

(208) 466-7443

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ambitions of Idaho, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur D Alene, ID
  • NPI 1689133050
  NPD (past)
• Psychiatric Associates Services PLLC

  • Physician Assistant
  • Nampa, ID
  • NPI 1053074302
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1336729474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE F",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142165",
            "telephone_number": "727-800-2332",
            "fax_number": "727-800-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W SANETTA ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515047",
            "telephone_number": "208-466-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Cleveland Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054076",
            "country_code": "US",
            "telephone_number": "208-454-2996",
            "fax_number": "208-454-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4615 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837062002",
            "country_code": "US",
            "telephone_number": "208-344-2228",
            "fax_number": "208-344-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 W Sanetta St",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836515047",
            "country_code": "US",
            "telephone_number": "208-466-4541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3017 S Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427962",
            "country_code": "US",
            "telephone_number": "208-888-6123",
            "fax_number": "208-888-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALEO",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-40624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randell L Page, D.O.
• Mandy Palesano, PHARMD
• Jessica Ann Palmer
• Lexyn Jade Palmer
• McKenzie Rose Palmer
• Jitrudee Paoheng, PHARMD
• Joseph L Papiez, MD
• Yael Samai Parada
• Jamie Parker
• Jordan Keilah Parker

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, 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 Apr 13, 2021; 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.