NPIMap

Organization Active NPI

Raise the Bottom Training & Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Boise, ID
National Provider Identifier
1962707166
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CS5613 Issued in ID
Legal business name
RAISE THE BOTTOM TRAINING & COUNSELING SERVICES, LLC
Practice address
9196 W Barnes Dr
Boise, ID 83709-1552
Phone
(208) 433-0400
Fax
(208) 433-5271
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Ms. Courtney Ferrarese
Title
Biller
Phone
(208) 433-0400

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LMSW29959 ID
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CS5613 ID Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MSW07060 ID
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X N21523 ID
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X N40356 ID
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X CS5613 ID
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X M6153 ID

Addresses

Primary practice location

9196 W Barnes Dr
Boise, ID 83709-1552

Mailing address

9196 W Barnes Dr
Boise, ID 83709-1552
Phone (208) 433-0400

Other identifiers 2

IdentifierTypeStateIssuer
2387NTCOtherIDNARCOTIC TREATMENT CENTER
ID-10008-MOtherIDOPIOID TREATMENT PROGRAM CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200324002657 ID Part B Supplier - Opioid Treatment Program (Otp) 0244668341 Practice locations: Boise, ID; Pocatello, ID; Nampa, ID
O20200604002688 ID Part B Supplier - Clinic/Group Practice 0244668341 Receives reassigned benefits from 7 practitioners
Practice locations: Boise, ID; Nampa, ID; Pocatello, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2047419Raise the Bottom Training and Conseling Services9196 W Barnes W St, Boise, ID 83709ComplianceFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

9196 W Barnes Dr
Boise, ID 83709
Phone (208) 433-0400

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1962707166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISE THE BOTTOM TRAINING & COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "FERRARESE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "208-433-0400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LMSW29959",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "CS5613",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "MSW07060",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N21523",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "N40356",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "CS5613",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "ID",
            "license": "M6153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARCOTIC TREATMENT CENTER",
            "identifier": "2387NTC",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPIOID TREATMENT PROGRAM CERTIFICATION",
            "identifier": "ID-10008-M",
            "state": "ID"
        }
    ],
    "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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.