Teen Hope of Idaho

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEEN HOPE OF IDAHO

Practice address

10020 W Fairview Ave Ste 204
Boise, ID 83704-8571

Phone

(208) 991-4649

NPI assigned

Apr 25, 2018

Last updated

Apr 25, 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

Pamela Cross

Title

President

Phone

(208) 794-3586

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Sunday Beth Cross, LMSW

  • Mental Health Counselor
  • Boise, ID
  • NPI 1336630706
  NPD (past)
• Sarah Harris

  • Professional Counselor
  • Boise, ID
  • NPI 1417445461
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1700374766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 W FAIRVIEW AVE STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048571",
            "telephone_number": "208-991-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 W FAIRVIEW AVE STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048571",
            "telephone_number": "208-991-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN HOPE OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-794-3586"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland Charles Tebout
• Matthew Kenji Techy, MD
• Laura Tedrick, M.D.
• Robert J Teears, M.D.
• David A Teed, LCSW
• Ross Teeple
• Coby Jon Tefft, M.A.
• Grace Kathryn Tegg, LMSW
• Kimberly Telfer, NP
• Nicole Telford

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.