Organization Active NPI

Alta Counseling Associates

Doing business as Alta Services

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1619199890
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW 1100 Issued in ID
Legal business name
ALTA COUNSELING ASSOCIATES
Doing business as
Alta Services
Practice address
5223 W Overland Rd
Boise, ID 83705-2637
Phone
(208) 395-1713
Fax
(208) 395-1715
NPI assigned
May 3, 2007
Last updated
Mar 20, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTA ADDICTION AND MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Ms. Colleen Bishop
Title
Executive Director
Phone
(208) 395-1713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW 1100 ID Primary

Addresses

Primary practice location

5223 W Overland Rd
Boise, ID 83705-2637

Mailing address

5223 W Overland Rd
Boise, ID 83705-2637
Phone (208) 395-1713

Other identifiers 1

IdentifierTypeStateIssuer
8063461MedicaidID

Other names 1

  • Alta Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alta Counseling Associates2 organizations share this tax ID, including this one
Part of
Alta Counseling Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1619199890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-395-1713",
            "fax_number": "208-395-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-395-1713",
            "fax_number": "208-395-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA COUNSELING ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTA ADDICTION AND MENTAL HEALTH SERVICES",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-395-1713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW 1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8063461",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2009; 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.