Meadow Sage Wellness LLC

Primary specialty

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

Legal business name

MEADOW SAGE WELLNESS LLC

Practice address

500 W Idaho St Ste 250
Boise, ID 83702-5756

Phone

(208) 297-3356

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Isabel Palmer, LCPCNPI 1841963790

Title

Owner

Phone

(971) 232-2887

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isabel Palmer, LCPC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1841963790
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1720833858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 W MYSTIC COVE WAY",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837144785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W IDAHO ST STE 250",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025756",
            "telephone_number": "208-297-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW SAGE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-232-2887",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

• Casey McRoy, M.D.
• Krista McTeer, MS CCC-SLP
• Kennette A. McWilliams, LCSW
• Mary Meacham, NP
• Jeffery Russell Meador, LMFT
• Meadowlark Service Coordination LLC
• John Anthony Mebane, PA
• Karen B Mebane, PA-C
• Mary Fisk Mebane, P.A.
• Amanda B Mecham

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, 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 Apr 22, 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.