Stephanie Lynn Watts, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1094 Issued in ID

Practice address

9196 W Barnes Dr
Boise, ID 83709-1552

Phone

(208) 433-0400

Fax

(208) 433-5271

NPI assigned

Feb 11, 2020

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

Other identifiers 2

Electronic endpoints 1

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.

• Raise the Bottom Training & Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Boise, ID
  • NPI 1962707166
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1780216416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC",
            "identifier": "1094",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Boise",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9196 W Barnes Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837091552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Watts, EDD
• Barry A Watts, LCPC
• Jamie Watts, NP
• Karl N Watts, MD
• Rosana Z Watts, RN
• Marcey Louise Waugh, LPN
• Jordan Waverek, M.S. CCC-SLP
• Dylan Anthony Wayman, LMT, CPT, NMT
• Kristi L Wayment, PA-C
• Wayne Counseling, LLC

• Addiction (Substance Use Disorder) Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Addiction (Substance Use Disorder) Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.