Organization Active NPI

Andrea Torrez, Ma, LCSW, LLC

  • Community/Behavioral Health Agency
  • Nampa, ID
National Provider Identifier
1467889170
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-30219 Issued in ID
Legal business name
ANDREA TORREZ, MA, LCSW, LLC
Practice address
17 12TH Ave S
Suite 207
Nampa, ID 83651-3952
Phone
(208) 350-8998
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Andrea Noel Torrez, LCSWNPI 1710288014
Title
Owner
Phone
(208) 350-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-30219 ID Primary

Addresses

Primary practice location

17 12TH Ave S
Suite 207
Nampa, ID 83651-3952

Mailing address

2488 W Washington Ave
Nampa, ID 83686-2677
Phone (208) 350-8998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311000661 ID Part B Supplier - Clinic/Group Practice 7911137054 Receives reassigned benefits from 2 practitioners
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

17 12th Ave S
Ste 207
Nampa, ID 83651
Phone (208) 204-0014

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1467889170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 W WASHINGTON AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862677",
            "telephone_number": "208-350-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 12TH AVE S",
            "address_2": "SUITE 207",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513952",
            "telephone_number": "208-350-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA TORREZ, MA, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "TORREZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-350-8998",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-30219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.