BRC Mental Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRC MENTAL HEALTH SERVICES

Practice address

963 S Orchard St Ste 103
Boise, ID 83705-1917

Phone

(208) 890-7290

Fax

(208) 286-9829

NPI assigned

Jul 8, 2017

Organization subpart

No

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

Authorized official

Name

Melissa M. Wolfe

Title

Owner

Phone

(208) 890-7290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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

• David Neal Goldstein, LCPC 6008

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1407191562

  ID

  Medicare reassignment Care Compare group NPD
• Laura Lela Hartwig, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1023322856

  ID

  Medicare reassignment Care Compare group NPD
• Nicole Barker, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1760848238

  ID

  Medicare reassignment Care Compare group
• Judith Lynn Carroll

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1265857999
  NPD
• Kara Delacy, FNP

  • Nurse Practitioner
  • Boise, ID
  • NPI 1942485180
  NPD
• Shauna Lynn Staufenberg

  • Social Worker
  • Boise, ID
  • NPI 1295434876
  NPD

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

CLIA laboratory certificates

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1982126264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1349",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836161349",
            "telephone_number": "208-890-7290",
            "fax_number": "208-286-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S ORCHARD ST STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051917",
            "telephone_number": "208-890-7290",
            "fax_number": "208-286-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRC MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-890-7290"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Brault, LMSW
• Felix M Braun, MD
• Jessica M Braun, MS CCC-SLP
• Jodi Lynn Brawley
• David Painton Bray, MD
• Breaking the Cycle LLC
• Breaking the Cycle LLC
• Breaking the Cycle LLC
• Cadie Brechbuhler
• Barbara Allen Breeding

• All providers in Boise, ID
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.