Play Therapy House, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-6860 Issued in ID

Legal business name

PLAY THERAPY HOUSE, INC.

Practice address

3829 W Catalina Rd
Boise, ID 83705-4611

Phone

(208) 407-3562

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Kailee McMahon, LCPC

Title

Registered Agent

Phone

(208) 407-1180

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Moore, LCPC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1992186506
  NPD

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1902398548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5791",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837050791",
            "telephone_number": "208-407-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 W CATALINA RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054611",
            "telephone_number": "208-407-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY THERAPY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "KAILEE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "208-407-1180",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Planinz, L.AC.
• Planned Parenthood of Idaho
• Alison Plant, LPC
• Grisel Plascencia
• Platinum Dental PLLC
• Playroom Speech Therapy LLC
• Aubrey Plew, LMSW
• Edward Aaron Plies, LCSW
• Natasha Plowman, LMSW
• PLS Care Impact LLC

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.