NPIMap

Organization Active NPI

Core Counseling Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
National Provider Identifier
1851661052
Registry record updated Mar 5, 2013
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
CORE COUNSELING CENTER PLLC
Practice address
847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792
Phone
(208) 467-2673
Fax
(208) 467-4150
NPI assigned
Jan 4, 2012
Last updated
Mar 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Mr. Jeffrey Ryan Moreno, L.C.S.W.
Title
Owner/Program Manager
Phone
(208) 570-8894

Specialties & licenses 1

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

Addresses

Primary practice location

847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792

Mailing address

847 Parkcentre Way
Suite 4
Nampa, ID 83651-1792
Phone (208) 467-2673

National Provider Directory

National Provider Directory
Tax ID family
Core Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

847 Parkcentre Way
Ste 4
Nampa, ID 83651
Phone (208) 467-2673

Practitioners & affiliated clinicians

Practitioners 7

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1851661052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARKCENTRE WAY",
            "address_2": "SUITE 4",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511792",
            "telephone_number": "208-467-2673",
            "fax_number": "208-467-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARKCENTRE WAY",
            "address_2": "SUITE 4",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511792",
            "telephone_number": "208-467-2673",
            "fax_number": "208-467-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PROGRAM MANAGER",
        "authorized_official_telephone_number": "208-570-8894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "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 Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.