Claryce Manweiler

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

400 N Benjamin LN Ste 201
Boise, ID 83704-5094

Phone

(208) 287-5628

Fax

(208) 287-5609

NPI assigned

Dec 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ada County Juvenile Court Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1942632500
  NPD (past)

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1972934644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-5628",
            "fax_number": "208-287-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWEILER",
        "first_name": "CLARYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly J Mannschreck, M.D.
• C Paul Mansfield, CRNA
• Marcy B. Mansor-Jess, PT
• Autumn Mantey, LMSW
• Savarra Marie Mantzor, M.D.
• Kamille Eldene Ariel Manzo, LMSW
• Valer Mapendo, LMSW
• Maple Grove Eyecare PC
• Maple Grove Surgical LLC
• Kelci Denae Mar, DPT

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.