Organization Active NPI

Alta Counseling Associates

Doing business as Alta Services

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1982818290
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW Issued in ID
Legal business name
ALTA COUNSELING ASSOCIATES
Doing business as
Alta Services
Practice address
5223 W Overland Rd
Boise, ID 83705-2637
Phone
(208) 395-1713
Fax
(208) 395-1715
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
ALTA ADDICTIONS AND MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Ms. Colleen Bishop
Title
Executive Director
Phone
(208) 395-1713

Specialties & licenses 1

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

Addresses

Primary practice location

5223 W Overland Rd
Boise, ID 83705-2637

Mailing address

5223 W Overland Rd
Boise, ID 83705-2637
Phone (208) 395-1713

Other identifiers 1

IdentifierTypeStateIssuer
0027619MedicaidID

Other names 1

  • Alta Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alta Counseling Associates2 organizations share this tax ID, including this one
Part of
Alta Counseling Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5223 W Overland Rd
Boise, ID 83705
Phone (208) 331-4592

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1982818290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-395-1713",
            "fax_number": "208-395-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-395-1713",
            "fax_number": "208-395-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA COUNSELING ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTA ADDICTIONS AND MENTAL HEALTH SERVICES",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-395-1713",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027619",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2009; 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.