Jacob Atkinson, PSYD, ATR

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY-203023 Issued in ID

Practice address

671 E Riverpark LN Ste 220
Boise, ID 83706-6559

Phone

(208) 344-2071

NPI assigned

Jan 18, 2011

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1477858785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6568 S FEDERAL WAY",
            "address_2": "BOX 235",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-344-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JACOB",
        "credential": "PSYD, ATR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "5800",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY-203023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline P Ater, RPH
• Athletic Training Center Inc.
• Atkinson Psychology LLC
• Diane Atkinson, RN
• Irma Calnon Atkinson, MSW
• Kristie Rachele Atkinson, M.ED
• Atlantis Dental Care, P.a.
• Atlas Home Care LLC (Atlas Home Care)
• Elizabeth E Atnip, MD
• Ats Wheelchair Co., Inc. (ATS Wheelchair & Medical)

• Counseling Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.