NPIMap

Organization Active NPI

Avanzar Wellness LLC

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1871126797
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AVANZAR WELLNESS LLC
Practice address
10096 W Fairview Ave Ste 160
Boise, ID 83704-5004
Phone
(208) 908-7882
Fax
(208) 908-7883
NPI assigned
Feb 19, 2020
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Sarah Ballard, MSW, LCSWNPI 1912310491
Title
Director of Operations
Phone
(208) 908-7882

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10096 W Fairview Ave Ste 160
Boise, ID 83704-5004

Mailing address

10096 W Fairview Ave Ste 160
Boise, ID 83704-5004
Phone (208) 908-7882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408001775 ID Part B Supplier - Clinic/Group Practice 1557790854 Receives reassigned benefits from 7 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

10096 W Fairview Ave
Ste 160
Boise, ID 83704
Phone (208) 908-7882

11513 W Fairview Ave
Ste 105
Boise, ID 83713
Phone (208) 908-7882

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1871126797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZAR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-908-7882",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 21, 2026; 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.