Active NPI
Kimberly Hinrichs PLLC
- Adult Mental Health Clinic/Center
- Boise, ID
National Provider Identifier
1730742016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- KIMBERLY HINRICHS PLLC
- Practice address
- 204 S Cole Rd
Boise, ID 83709-0934 - Phone
- (208) 724-8581
- Fax
- (208) 813-6179
- NPI assigned
- Apr 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Hinrichs, LCSW
- Title
- Owner
- Phone
- (208) 724-8581
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
204 S Cole Rd
Boise, ID 83709-0934
Mailing address
204 S Cole Rd
Boise, ID 83709-0934
Phone (208) 724-8581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205287471 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
204 S Cole Rd
Boise, ID 83709
Phone (208) 724-8581
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boise, ID
- NPI 1205287471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1730742016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090934",
"telephone_number": "208-724-8581",
"fax_number": "208-813-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090934",
"telephone_number": "208-724-8581",
"fax_number": "208-813-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY HINRICHS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-22",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "HINRICHS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-724-8581",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205287471",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.