Individual provider Active NPI

Victoria Thompson

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1356795041
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-35688 Issued in ID
Practice address
315 N Allumbaugh St
Boise, ID 83704-9208
Phone
(208) 376-3546
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-35688 ID Primary

Addresses

Primary practice location

315 N Allumbaugh St
Boise, ID 83704-9208

Mailing address

8535 W Atwater Dr
Garden City, ID 83714-1802
Phone (541) 231-1192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-35688IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Mind Counseling PLLC Clinical PastSince Jul 1, 2021 Accepting new patients
Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services PastSince Dec 7, 2009 Accepting new patients
Cassandre Moore LCSW LLC Clinical PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1356795041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 W ATWATER DR",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141802",
            "telephone_number": "541-231-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-376-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35688",
            "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 Apr 19, 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.