Counseling Solutions Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COUNSELING SOLUTIONS CENTER LLC

Doing business as

Jessica Bullwinkle, MA, LMFT

Practice address

2618 East Snocreek
Eagle, ID 83616

Phone

(208) 231-7308

NPI assigned

Nov 12, 2019

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Angelic Bullwinkle, MANPI 1851583405

Title

Owner

Phone

(208) 231-7308

Specialties & licenses 1

Addresses

Other names 1

• Jessica Bullwinkle, MA, LMFT Doing business as

Locations

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.

• Jessica Angelic Bullwinkle, LMFT

  • Marriage & Family Therapist
  • Morgan Hill, CA
  • NPI 1851583405
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1629613823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 E SNOCREEK DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165816",
            "telephone_number": "208-231-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 EAST SNOCREEK",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-231-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17705 Hale Ave Ste F4",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950374349",
            "country_code": "US",
            "telephone_number": "408-599-9562",
            "fax_number": "408-413-0462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SOLUTIONS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BULLWINKLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANGELIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-231-7308",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Bullwinkle, MA, LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Cook, COTA/L
• Jodi Copeland, BSW
• Kimberly Cordero
• Cornerstone Caregiving West LLC
• Counseling Associates PLLC
• Joel Edward Courtial, DDS
• Angela Ann Coyne, PA
• Josh Crank, D.M.D.
• Andrew Reed Crawford, PA-C
• Kellee J Crockett, PA-C

• Marriage & Family Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.