Organization Active NPI

Open Door Counseling LLC

  • Professional Counselor
  • Meridian, ID
National Provider Identifier
1528836905
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OPEN DOOR COUNSELING LLC
Practice address
849 E Fairview Ave
Meridian, ID 83642-1806
Phone
(208) 570-4350
Fax
(208) 498-2008
NPI assigned
Dec 15, 2023
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Gail L Zickefooose, LCPC
Title
Owner Counselor
Phone
(208) 570-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

849 E Fairview Ave
Meridian, ID 83642-1806

Mailing address

16548 Snowgoose St
Nampa, ID 83687-8293
Phone (208) 570-4350

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1528836905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16548 SNOWGOOSE ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878293",
            "telephone_number": "208-570-4350",
            "fax_number": "208-498-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E FAIRVIEW AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421806",
            "telephone_number": "208-570-4350",
            "fax_number": "208-498-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ZICKEFOOOSE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER COUNSELOR",
        "authorized_official_telephone_number": "208-570-4350",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.