NPIMap

Organization Active NPI

Inspirato Wellness, PLLC

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1477090264
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36289 Issued in ID
Legal business name
INSPIRATO WELLNESS, PLLC
Practice address
2313 W Bella St
Boise, ID 83702-0423
Phone
(208) 908-6755
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Ms. Deena C Lumia, LCSWNPI 1174955850
Title
Owner
Phone
(208) 629-7733

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 36289 ID Primary

Addresses

Primary practice location

2313 W Bella St
Boise, ID 83702-0423

Mailing address

2313 W Bella St
Boise, ID 83702-0423
Phone (208) 908-6755

Other identifiers 1

IdentifierTypeStateIssuer
8082880MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1477090264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W BELLA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020423",
            "telephone_number": "208-908-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W BELLA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020423",
            "telephone_number": "208-908-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATO WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "LUMIA",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-629-7733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "36289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082880",
            "state": "ID"
        }
    ],
    "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 Mar 7, 2017; 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.