Freedom Counseling Services of Boise

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCPC-4671 Issued in ID

Legal business name

FREEDOM COUNSELING SERVICES OF BOISE

Practice address

3350 W Americana Ter
Suite 210B
Boise, ID 83706-2521

Phone

(208) 807-0122

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Timothy Desantis

Title

Owner/Therapist

Phone

(208) 807-0122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1902259609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170111",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837170111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER",
            "address_2": "SUITE 210B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062521",
            "telephone_number": "208-807-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM COUNSELING SERVICES OF BOISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-807-0122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCPC-4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.