Intensive Healing Therapy, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTENSIVE HEALING THERAPY, LLC.

Practice address

10424 Duck LN
Nampa, ID 83686-9174

Phone

(208) 280-0576

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Urrutia, EQUINE SPECIALIST

Title

Executive Director

Phone

(208) 280-0576

Specialties & licenses 1

Addresses

Other names 1

• Idaho Horse Therapy Inc Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1477013191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 DUCK LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869174",
            "telephone_number": "208-280-0576",
            "fax_number": "855-898-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 DUCK LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869174",
            "telephone_number": "208-280-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE HEALING THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "URRUTIA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-280-0576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EQUINE SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "johnny@idahohorsetherapy.com",
            "affiliation": "N",
            "address_1": "10424 Duck Ln",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836869174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Idaho Horse Therapy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Providers in Nampa, ID by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.