Organization Active NPI

Salmon River Serenity Wellness PLLC

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1861245201
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALMON RIVER SERENITY WELLNESS PLLC
Practice address
9492 W Fairview Ave
Boise, ID 83704-8101
Phone
(208) 413-1087
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Steve Thomas Welsh, LCSW, ACADCNPI 1912498825
Title
Clinician
Phone
(208) 413-1087

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9492 W Fairview Ave
Boise, ID 83704-8101

Mailing address

PO Box 4222
Boise, ID 83711-4222
Phone (208) 413-1087

Other names 1

  • Salmon River Serenity Wellness PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002017 ID Part B Supplier - Clinic/Group Practice 0840639571 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

2645 N Cole Rd
Ste F
Boise, ID 83704
Phone (208) 488-4185

Practitioners & affiliated clinicians

Practitioners 1

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1861245201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4222",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114222",
            "telephone_number": "208-413-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9492 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048101",
            "telephone_number": "208-413-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON RIVER SERENITY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "208-413-1087",
        "authorized_official_credential": "LCSW, ACADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon River Serenity Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salmon River Serenity Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2025; 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.