NPIMap

Organization Active NPI

Starr Family Behavioral Health

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1548640964
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-30318 Issued in ID
Legal business name
STARR FAMILY BEHAVIORAL HEALTH
Practice address
7161 W Potomac Dr
Suite a
Boise, ID 83704-9148
Phone
(208) 908-6399
Fax
(866) 275-9883
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Miss Jessica A Trent, BS
Title
Program Director
Phone
(208) 908-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-30318 ID Primary

Addresses

Primary practice location

7161 W Potomac Dr
Suite a
Boise, ID 83704-9148

Mailing address

7161 W Potomac Dr
Suite a
Boise, ID 83704-9148
Phone (208) 908-6399

National Provider Directory

National Provider Directory

Locations

7161 W Potomac Dr
Ste A
Boise, ID 83704
Phone (208) 908-6399

Practitioners & affiliated clinicians

Practitioners 6

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1548640964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 W POTOMAC DR",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049148",
            "telephone_number": "208-908-6399",
            "fax_number": "866-275-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 W POTOMAC DR",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049148",
            "telephone_number": "208-908-6399",
            "fax_number": "866-275-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR FAMILY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "208-908-6399",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-30318",
            "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 Jun 1, 2015; 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.