Mariana Counseling and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARIANA COUNSELING AND WELLNESS, LLC

Practice address

410 S Orchard St Ste 140
Boise, ID 83705-1288

Phone

(503) 314-7435

NPI assigned

Apr 23, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Staci Cooper, LCPCNPI 1629228663

Title

Owner/Provider

Phone

(503) 314-7435

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Staci Cooper, LCPC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1629228663
  Authorized official Same address or phone

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1396590345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "503-314-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "503-314-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-314-7435",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Nicholas Marchesani, M.D.
• Gabrielle Hope Gequillana Marchese, PHARMD
• Cody James Marchetti, DO
• Lisa Marconi, R.N.
• Julie Marcum, APRN
• Mariella L. Hogan, PH.D., Atr-BC, PLLC (Hays Street Counseling)
• Brandi J Marion, M.S., CCC-SLP
• Sarah Deboard Marion, PH.D
• Jodi Lynn Marjonen, RN
• Mark a Jepson PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.