Annapurna Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ANNAPURNA COUNSELING, LLC

Practice address

7669 W Riverside Dr Ste 101
Boise, ID 83714-6183

Phone

(208) 850-0442

Fax

(208) 549-5833

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By 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

Uncil Grace Jo, LCSW

Title

Clinical Social Worker

Phone

(208) 850-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1679057244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11491 W WAGON PASS CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837098565",
            "telephone_number": "208-850-0442",
            "fax_number": "208-549-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7669 W RIVERSIDE DR STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146183",
            "telephone_number": "208-850-0442",
            "fax_number": "208-549-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPURNA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "UNCIL",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "208-850-0442",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2018; 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.