Organization Active NPI

Methodist Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1962618959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
METHODIST COUNSELING CENTER, INC.
Practice address
717 N 11TH St
Boise, ID 83702-5365
Phone
(208) 343-7511
Fax
(208) 343-0000
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick Edward Hoadley, LMFT
Title
Clinical Director
Phone
(208) 343-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

717 N 11TH St
Boise, ID 83702-5365

Mailing address

717 N 11TH St
Boise, ID 83702-5365
Phone (208) 343-7511

National Provider Directory

National Provider Directory

Locations

717 N 11th St
Boise, ID 83702
Phone (208) 319-1002

Practitioners & affiliated clinicians

Practitioners 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962618959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N 11TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025365",
            "telephone_number": "208-343-7511",
            "fax_number": "208-343-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N 11TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025365",
            "telephone_number": "208-343-7511",
            "fax_number": "208-343-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOADLEY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-343-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.