Introspective Counseling & Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTROSPECTIVE COUNSELING & CONSULTING LLC

Practice address

410 S Orchard St Ste 128
Boise, ID 83705-1288

Phone

(208) 252-5009

NPI assigned

Nov 25, 2019

Organization subpart

Yes

Parent organization

INTROSPECTIVE COUNSELING & CONSULTINGAs reported in NPPES

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

Authorized official

Name

Mrs. Amanda Sue Helsley, LCSWNPI 1265838601

Title

Licensed Clinical Social Worker

Phone

(208) 252-5009

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Part of

Introspective Counseling C

Practitioners 1

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

• Amanda Sue Helsley, LCSW

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1265838601
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1952947822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W OVERLAND RD # 278",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-252-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 128",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "208-252-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECTIVE COUNSELING & CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTROSPECTIVE COUNSELING & CONSULTING",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "HELSLEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "208-252-5009",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boise",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 S Orchard St Ste 128",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837051288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.