Active NPI
Faith Nicole Jolley, LMSW
- Social Worker
- Nampa, ID
National Provider Identifier
1952124695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8361978
- Practice address
- 112 12TH Ave Rd
Nampa, ID 83686-5011 - Phone
- (208) 465-5433
- Fax
- (208) 466-5802
- NPI assigned
- Nov 1, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8361978 | ID | Primary |
Addresses
Primary practice location
112 12TH Ave Rd
Nampa, ID 83686-5011
Mailing address
1078 Big Creek Cir
Nampa, ID 83686-8058
Phone (208) 339-6293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8361978 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Counseling Center Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Nampa, ID
- NPI 1841206604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1952124695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 BIG CREEK CIR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836868058",
"telephone_number": "208-339-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865011",
"telephone_number": "208-465-5433",
"fax_number": "208-466-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "FAITH",
"middle_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "8361978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.