Gem State Counseling and Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4452 Issued in ID

Legal business name

GEM STATE COUNSELING AND THERAPEUTIC SERVICES

Practice address

910 West Main Street
Suite 320
Boise, ID 83702

Phone

(208) 639-8839

Fax

(208) 639-8836

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Juli A Bardsley, LPC

Title

Owner

Phone

(208) 639-8839

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1487943304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W MAIN ST STE 320",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025733",
            "telephone_number": "208-693-8839",
            "fax_number": "208-639-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WEST MAIN STREET",
            "address_2": "SUITE 320",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-639-8839",
            "fax_number": "208-639-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM STATE COUNSELING AND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BARDSLEY",
        "authorized_official_first_name": "JULI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-639-8839",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalia Antigoni Geller, M.D.
• Andrea Gellert, MA, SLP-CFY
• Anna L Gelok, PA-C
• Christian Gelok, CNP
• Gem State Care Mobility LLC
• Gem State Dermatology, PA
• Gem State Family Eyecare, P.C.
• Gem State Radiology LLP
• Gem State Speech Inc
• Gem State Therapy

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.