Organization Active NPI

A New Beginning Counseling Center, PC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eagle, ID
National Provider Identifier
1821238080
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
A NEW BEGINNING COUNSELING CENTER, PC.
Practice address
1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834
Phone
(208) 412-7740
Fax
(208) 853-1318
NPI assigned
Mar 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Dr. Jessica Shakespeare Neighbors, PSYD, LCSW
Title
Clinical Psychologist
Phone
(208) 412-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834

Mailing address

1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834
Phone (208) 412-7740

Other practice location 1

7669 W Riverside Dr Ste 102
Boise, ID 83714-6183
Phone (208) 412-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000468 ID Part B Supplier - Clinic/Group Practice 3375600604 Receives reassigned benefits from 3 practitioners
Practice locations: Boise, ID; Eagle, ID

National Provider Directory

National Provider Directory

Locations

7669 W Riverside Dr
#102
Boise, ID 83714
Phone (208) 412-7740

1025 S Bridgeway Pl
Ste 280
Eagle, ID 83616
Phone (208) 412-7740

815 S Bridgeway Pl
Ste 118
Eagle, ID 83616
Phone (208) 412-7740

325 E Shore Dr
Ste 110
Eagle, ID 83616
Phone (208) 412-7740

Practitioners & affiliated clinicians

Practitioners 7

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": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1821238080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S BRIDGEWAY PL STE 280",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166834",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S BRIDGEWAY PL STE 280",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166834",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7669 W Riverside Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837146183",
            "country_code": "US",
            "telephone_number": "208-412-7740",
            "fax_number": "208-853-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A NEW BEGINNING COUNSELING CENTER, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "NEIGHBORS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SHAKESPEARE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-412-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.