Organization Active NPI

Kyley J. Trausch, LCSW LLC

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1902669740
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KYLEY J. TRAUSCH, LCSW LLC
Practice address
403 W Cherry LN
Meridian, ID 83642-1610
Phone
(208) 502-8185
Fax
(208) 900-1698
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Ms. Kyley Jo Trausch, LCSWNPI 1558722520
Title
Mental Health Therapist
Phone
(208) 502-8185

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

403 W Cherry LN
Meridian, ID 83642-1610

Mailing address

6299 N Eagle Rd # 1005
Boise, ID 83713-0955
Phone (208) 502-8185

Other practice location 1

13447 W Waldemar St
Boise, ID 83713-0843
Phone (208) 502-8185

National Provider Directory

National Provider Directory

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1902669740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 N EAGLE RD # 1005",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130955",
            "telephone_number": "208-502-8185",
            "fax_number": "208-900-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421610",
            "telephone_number": "208-502-8185",
            "fax_number": "208-900-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13447 W Waldemar St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837130843",
            "country_code": "US",
            "telephone_number": "208-502-8185",
            "fax_number": "208-900-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLEY J. TRAUSCH, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "TRAUSCH",
        "authorized_official_first_name": "KYLEY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "208-502-8185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.