NPIMap

Organization Active NPI

Community Services Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boise, ID
National Provider Identifier
1477994580
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
LMSW-29111 Issued in ID
Legal business name
COMMUNITY SERVICES COUNSELING
Practice address
963 S Orchard St
Suite B
Boise, ID 83705-1939
Phone
(208) 336-6792
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dennis Hardziej
Title
Director
Phone
(208) 336-6792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X LMSW-29111 ID Primary

Addresses

Primary practice location

963 S Orchard St
Suite B
Boise, ID 83705-1939

Mailing address

963 S Orchard St
Suite B
Boise, ID 83705-1939

National Provider Directory

National Provider Directory
Tax ID family
Community Services Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1477994580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 S ORCHARD ST",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S ORCHARD ST",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051939",
            "telephone_number": "208-336-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARDZIEJ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-336-6792"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ID",
            "license": "LMSW-29111",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 17, 2013; 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.