NPIMap

Organization Active NPI

Tree City Wellness, LLC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1770113243
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TREE CITY WELLNESS, LLC
Practice address
410 S Orchard St Ste 128
Boise, ID 83705-1288
Phone
(208) 817-0234
Fax
(833) 898-4093
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Krysteena Joy Stephens, LPC, LAMFTNPI 1780175695
Title
Owner/Therapist
Phone
(208) 817-0234

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

410 S Orchard St Ste 128
Boise, ID 83705-1288

Mailing address

410 S Orchard St Ste 128
Boise, ID 83705-1288
Phone (208) 817-0234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1770113243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 128",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "208-817-0234",
            "fax_number": "833-898-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 128",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "208-817-0234",
            "fax_number": "833-898-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE CITY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "KRYSTEENA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-817-0234",
        "authorized_official_credential": "LPC, LAMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2020; 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.