Maitri Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-5927 Issued in ID

Legal business name

MAITRI COMMUNITY SERVICES

Practice address

3709 N Locust Grove Rd
Suite 100
Meridian, ID 83646-6449

Phone

(208) 284-8450

NPI assigned

Jul 14, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Lee Gorringe, BA, MS, LPC, NCCNPI 1912459587

Title

Licensed Practicing Counselor

Phone

(208) 284-8450

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Gorringe

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1912459587
  Authorized official Same address or phone

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1972987543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466449",
            "telephone_number": "208-284-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 N LOCUST GROVE RD",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466449",
            "telephone_number": "208-284-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "GORRINGE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED PRACTICING COUNSELOR",
        "authorized_official_telephone_number": "208-284-8450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Maggio, DPT
• Claire Magnolo, PA-C
• Jonathan Eric Main, DC
• Mireya Frances Mains, LMSW
• Maitri Community Services
• Jacob Scott Majors, M.D.
• Kayla Makar
• Makenna Farms LLC
• NA-Ree Kim Malan, D.D.S.
• Elizabeth Anne Malarkey, FNP-C

• Community/Behavioral Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.