Organization Active NPI

Janelle Stauffer LCSW PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1841681806
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW 30244 Issued in ID
Legal business name
JANELLE STAUFFER LCSW PLLC
Practice address
684 B N 9TH Street
Boise, ID 83702
Phone
(208) 502-0183
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Janelle Stauffer, LCSWNPI 1922247410
Title
LCSW
Phone
(208) 502-0183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW 30244 ID Primary

Addresses

Primary practice location

684 B N 9TH Street
Boise, ID 83702

Mailing address

2301 W Lincoln Ave
Nampa, ID 83686-8090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001004584 ID Part B Supplier - Clinic/Group Practice 8123524865 Receives reassigned benefits from 3 practitioners
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

1224 1st St S
Ste 302
Nampa, ID 83651
Phone (208) 495-4358

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1841681806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 B N 9TH STREET",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-502-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANELLE STAUFFER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "208-502-0183",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW 30244",
            "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 Feb 12, 2015; 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.