Active NPI
Grounded Wellness PLLC
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1609702604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GROUNDED WELLNESS PLLC
- Practice address
- 1010 W Washington St
Boise, ID 83702-5446 - Phone
- (208) 860-2390
- NPI assigned
- Jun 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackelle Knickrehm
- Title
- Owner
- Phone
- (208) 860-2390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1010 W Washington St
Boise, ID 83702-5446
Mailing address
713 N Echohawk Way
Eagle, ID 83616-5489
Phone (208) 860-2390
National Provider Directory
National Provider DirectoryLocations
1010 W Washington St
Boise, ID 83702
Phone (208) 854-4270
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boise, ID
- NPI 1740962315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1609702604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 N ECHOHAWK WAY",
"city": "EAGLE",
"state": "ID",
"postal_code": "836165489",
"telephone_number": "208-860-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W WASHINGTON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837025446",
"telephone_number": "208-860-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUNDED WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-18",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "KNICKREHM",
"authorized_official_first_name": "JACKELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-860-2390"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.