AMETHYST COUNSELING AND CASE MANAGEMENT NPI 1578101556

NPI Information

NPI: 1578101556
Provider Name: AMETHYST COUNSELING AND CASE MANAGEMENT
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3400 E RIVER VALLEY ST APT J202
MERIDIAN, ID
ZIP 83646
Phone: (907) 302-8366
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AMETHYST COUNSELING AND CASE MANAGEMENT is a mental health counselor in Meridian, ID. AMETHYST COUNSELING AND CASE MANAGEMENT NPI is 1578101556. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 E RIVER VALLEY ST APT J202
MERIDIAN, ID
ZIP 83646-361
Phone: (907) 302-8366

The provider's authorized official is Jamila Gilliam .
The authorized official title is Owner and has the following contact phone number (907) 302-8366.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	Yes
4	101YP2500X	Counselor	Professional	No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	103TC1900X	Psychologist	Counseling	No
7	104100000X	Social Worker		No
8	1041C0700X	Social Worker	Clinical	No
9	1041S0200X	Social Worker	School	No
10	106H00000X	Marriage & Family Therapist		No
11	163WC0400X	Registered Nurse	Case Management	No
12	373H00000X	Day Training/Habilitation Specialist		No
13	252Y00000X	Early Intervention Provider Agency		No
14	251S00000X	Community/Behavioral Health		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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