Organization Active NPI

Tides Treatment Services

  • Addiction (Substance Use Disorder) Counselor
  • Boise, ID
National Provider Identifier
1801347703
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TIDES TREATMENT SERVICES
Practice address
600 N Curtis Rd
Suite 245
Boise, ID 83706-1449
Phone
(208) 672-0360
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Amy Salisbury, CADC
Title
Co-Owner
Phone
(208) 672-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

600 N Curtis Rd
Suite 245
Boise, ID 83706-1449

Mailing address

600 N Curtis Rd
Suite 245
Boise, ID 83706-1449
Phone (208) 672-0360

National Provider Directory

National Provider Directory

Locations

600 N Curtis Rd
Ste 245
Boise, ID 83706
Phone (208) 672-0360

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1801347703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CURTIS RD",
            "address_2": "SUITE 245",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061449",
            "telephone_number": "208-672-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CURTIS RD",
            "address_2": "SUITE 245",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061449",
            "telephone_number": "208-672-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-672-0360",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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 Oct 17, 2016; 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.