Utopia Counselling and Adoption Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33837 Issued in ID

Legal business name

UTOPIA COUNSELLING AND ADOPTION SERVICES, PLLC

Practice address

1111 S Orchard St Ste 100
Boise, ID 83705-1961

Phone

(208) 794-9588

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth A Jackson, LCSWNPI 1649694233

Title

Owner/Counsellor

Phone

(208) 794-9588

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A Jackson, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1649694233
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1578076865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-794-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-794-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA COUNSELLING AND ADOPTION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/COUNSELLOR",
        "authorized_official_telephone_number": "208-794-9588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "33837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649694233",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20008188",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.