Constance Meshack-Hart

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1276 W River St Ste 100
Boise, ID 83702-7083

Phone

(208) 338-4699

NPI assigned

Feb 1, 2008

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• CP Professional Education and Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1023238995
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1407034325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 W RIVER ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027083",
            "telephone_number": "208-338-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 W RIVER ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027083",
            "telephone_number": "208-338-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 Marlton Ave",
            "address_2": "Suite 136",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900082519",
            "country_code": "US",
            "telephone_number": "323-294-6400",
            "fax_number": "323-294-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESHACK-HART",
        "first_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget L Merriam
• Elinor Jean Merrick, LMSW
• David L Merrill, CRNA
• Latoya Merritte, RN
• Elizabeth Ann Merten
• Ernest A Meshack-Hart, DDS
• Andrew Lee Mesher, MD
• Amelia Messenger-Grapp, LCPC
• Deanah R. Messenger
• Wyatt Messenger, MD

• Addiction (Substance Use Disorder) Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.