Idaho Mental Wellness Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IDAHO MENTAL WELLNESS COUNSELING

Practice address

1510 W Ustick Rd Ste 110
Meridian, ID 83646-7740

Phone

(209) 906-3799

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By 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

Karen Allen, LCSW

Title

Clinician

Phone

(209) 906-3799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1629804703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N ELMSTONE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466779",
            "telephone_number": "209-906-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W USTICK RD STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467740",
            "telephone_number": "209-906-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO MENTAL WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "209-906-3799",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Emergency Dental PLLC
• Idaho Emergency Physicians, P.a.
• Idaho Health and Hormones
• Idaho Heart Care
• Idaho Medical Specialists PC
• Idaho Minor Emergency and Family Practice PA
• Idaho One Health Network, LLC
• Idaho Otologic Surgery Center, LLC (Syringa Outpatient Surgery Center)
• Idaho Pediatric Speech and Language, LLC
• Idaho Pediatric Therapy Clinic PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.