Recovery Refuge Counseling Center, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

RECOVERY REFUGE COUNSELING CENTER, LLC

Practice address

8100 W Emerald St Ste 180
Boise, ID 83704-9069

Phone

(208) 859-6262

Fax

(208) 567-2143

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Janene E Rayne, LMSWNPI 1649654906

Title

Owner/Administrator

Phone

(208) 859-6262

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

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

• Janene Rayne, L.M.S.W.

  • Social Worker
  • Boise, ID
  • NPI 1649654906
  NPD (past) Authorized official

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1801450259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 N HILLGARD AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837147683",
            "telephone_number": "208-859-6262",
            "fax_number": "208-567-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W EMERALD ST STE 180",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049069",
            "telephone_number": "208-859-6262",
            "fax_number": "208-567-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY REFUGE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "RAYNE",
        "authorized_official_first_name": "JANENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-859-6262",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "M-6006",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "LMSW-34242",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "recoveryrefuge@hush.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8100 W Emerald St Ste 180",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Boise, ID
• Providers in Boise, ID by specialty
• Addiction Medicine (Family Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.