Active NPI
A New Beginning Counseling Center, PC.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Eagle, ID
- NPI 1871324475
-
- Social Worker
- Eagle, ID
- NPI 1528893542
-
- Clinical Social Worker
- Eagle, ID
- NPI 1275465635
-
- Mental Health Counselor
- Boise, ID
- NPI 1417680703
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.