Jackelle N Knickrehm

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8851781 Issued in ID

Practice address

1010 W Washington St
Boise, ID 83702-5446

Phone

(208) 860-2390

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jackelle Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grounded Wellness PLLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1609702604
  NPD Authorized official
• Clear Skies Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1174237044
  NPD (past)
• Jen Moore Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1508388513
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1740962315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N ECHOHAWK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165489",
            "telephone_number": "208-860-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025446",
            "telephone_number": "208-860-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICKREHM",
        "first_name": "JACKELLE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8851781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKELLE",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Carroll Knapp, MSW
• Jamie Knapp, PA-C
• Julene Burrows Knapp, LCSW
• Vaughn Knapp, LCSW
• William Patrick Knibbe, MD
• Ann Elizabeth Knierim, M.D.
• Ryan Joseph Kniesner, PHARMD
• Brian Patrick Knight, LCSW
• Janne Kelsey Knight, LCSW
• Savannah Knighton, ATC

• 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 Aug 11, 2026; 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.