Kacey Saresa McDonnell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

41551 Issued in ID

Practice address

400 N Benjamin LN
Boise, ID 83704-5094

Phone

(208) 287-7660

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart and Mind Counseling PLLCGroup PAC ID 4688064991, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart and Mind Counseling PLLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1659944353
  Medicare reassignment Care Compare group NPD
• Another Chance Counseling, PLLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1558801589
  NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1750035762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "KACEY",
        "middle_name": "SARESA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "41551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Trinity McDonald
• Robert Chase McDonald, PA-C
• Tamara M McDonald, DNP, PMHNP, FNP
• Megan C McDonell, PA
• Carli McDonnell
• W Michael McDonnell, MD
• Jude McDougall, LMT
• Derek Ryan McDowell, DO
• Elizabeth McDowell, PAC
• Kassi McDowell, LMSW

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.