Organization Active NPI

Bark and Moss Counseling Group PLLC

Doing business as Bark & Moss Counseling Group

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1720894231
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BARK AND MOSS COUNSELING GROUP PLLC
Doing business as
Bark & Moss Counseling Group
Practice address
6126 W State St Ste 202
Boise, ID 83703-2741
Phone
(208) 559-6011
Fax
(986) 236-4264
NPI assigned
Dec 9, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Valerie Annette Lamke, LMFTNPI 1497816359
Title
Director/Principal
Phone
(208) 559-6011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

6126 W State St Ste 202
Boise, ID 83703-2741

Mailing address

13601 W McMillan Rd # 102-104
Boise, ID 83713-2025
Phone (208) 559-6011

Other names 1

  • Bark & Moss Counseling Group Doing business as

National Provider Directory

National Provider Directory

Locations

13601 W McMillan Rd
#102104
Boise, ID 83713

6126 W State St
Ste 202
Boise, ID 83703
Phone (208) 559-6011

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1720894231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 W MCMILLAN RD # 102-104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132025",
            "telephone_number": "208-559-6011",
            "fax_number": "986-236-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 W STATE ST STE 202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032741",
            "telephone_number": "208-559-6011",
            "fax_number": "986-236-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARK AND MOSS COUNSELING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "LAMKE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR/PRINCIPAL",
        "authorized_official_telephone_number": "208-559-6011",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bark & Moss Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

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