| Access Behavioral Health Services | |
|
1276 W. River St. Suite 100 Boise ID 83702 | |
| (208) 338-4699 | |
| (208) 322-4722 |
| Full Name | Access Behavioral Health Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1276 W. River St., Boise, Idaho |
| Authorized Official Name and Position | Niccolia L Tangen (OWNER) |
| Authorized Official Contact | 2087132424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Behavioral Health Services 1276 W River St. Suite 100 Boise ID 83702 Ph: (208) 338-4699 | Access Behavioral Health Services 1276 W. River St. Suite 100 Boise ID 83702 Ph: (208) 338-4699 |
| NPI Number | 1487700589 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/26/2012 |
| Medicare PECOS PAC ID | 5991860413 |
|---|---|
| Medicare Enrollment ID | O20090217000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487700589 | NPI | - | NPPES |
| 807021100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
| Provider Name | Ellen D Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861728933 PECOS PAC ID: 2365410370 Enrollment ID: I20040917000797 |
| Provider Name | Pamela H Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578518676 PECOS PAC ID: 5799711453 Enrollment ID: I20050713001006 |
| Provider Name | Stacey K Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497716476 PECOS PAC ID: 5193728939 Enrollment ID: I20060816000211 |
| Provider Name | Kimberly D Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558564138 PECOS PAC ID: 0042310146 Enrollment ID: I20070702000483 |
| Provider Name | Julie Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932303104 PECOS PAC ID: 1557498185 Enrollment ID: I20100429000911 |
| Provider Name | Mary J Stackle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841522661 PECOS PAC ID: 5294863171 Enrollment ID: I20100513000767 |
| Provider Name | Shawna L Kuehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679898225 PECOS PAC ID: 3375673627 Enrollment ID: I20100611000724 |
| Provider Name | Lindsey A Stenshoel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902185168 PECOS PAC ID: 2668645433 Enrollment ID: I20111024000651 |
| Provider Name | Megan Gierhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225312374 PECOS PAC ID: 4385863935 Enrollment ID: I20140915001407 |
| Provider Name | Sarah E Trued |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881062891 PECOS PAC ID: 9032414974 Enrollment ID: I20160301002265 |
| Provider Name | Misty Klatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861854424 PECOS PAC ID: 1355635616 Enrollment ID: I20160809001568 |
| Provider Name | Jeremy Wayne Irvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245684927 PECOS PAC ID: 1355638545 Enrollment ID: I20161003002501 |
| Provider Name | Joniruth B Digaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881017382 PECOS PAC ID: 1951618107 Enrollment ID: I20161004002291 |
| Provider Name | Margaret Gordon Zipf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154477321 PECOS PAC ID: 8921399569 Enrollment ID: I20161019002448 |
| Provider Name | Christopher M Gakwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205355831 PECOS PAC ID: 3375892565 Enrollment ID: I20180821003419 |
| Provider Name | Jensen G Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619433703 PECOS PAC ID: 6406196823 Enrollment ID: I20190321002817 |
| Provider Name | Hillary R Godsill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528500840 PECOS PAC ID: 2567793268 Enrollment ID: I20191010001967 |
| Provider Name | Vanessa F Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861847261 PECOS PAC ID: 2163811969 Enrollment ID: I20211117001235 |
| Provider Name | Susan L Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733694 PECOS PAC ID: 1052704368 Enrollment ID: I20220209002071 |
| Provider Name | Desteni Neilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811528540 PECOS PAC ID: 2264818582 Enrollment ID: I20221010001994 |
| Provider Name | Dana D Jessup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508890146 PECOS PAC ID: 9830155811 Enrollment ID: I20230227000856 |
| Provider Name | Cynthia Diane Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710564125 PECOS PAC ID: 5496164303 Enrollment ID: I20230830000830 |
| Provider Name | Daniel Roy Hardin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134399215 PECOS PAC ID: 8022467018 Enrollment ID: I20231215002938 |
| Provider Name | Amber Renee Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205327830 PECOS PAC ID: 0345690475 Enrollment ID: I20240102001145 |
| Provider Name | Cara Ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194314294 PECOS PAC ID: 5395196646 Enrollment ID: I20240110005133 |
| Provider Name | Melissa Wilburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275178006 PECOS PAC ID: 2264883362 Enrollment ID: I20240112000686 |
| Provider Name | Anabel Navarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225343296 PECOS PAC ID: 2860844842 Enrollment ID: I20240115001742 |
| Provider Name | Trevor James Irish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720335078 PECOS PAC ID: 3577915545 Enrollment ID: I20240116002599 |
| Provider Name | Gina Marie Barragan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912450669 PECOS PAC ID: 3678925989 Enrollment ID: I20240122003941 |
| Provider Name | Aaron Lamar Andreasen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013598663 PECOS PAC ID: 4082067046 Enrollment ID: I20240126001088 |
| Provider Name | Ciarra N Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265101927 PECOS PAC ID: 0446693725 Enrollment ID: I20240205001333 |
| Provider Name | Alyssa Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871186155 PECOS PAC ID: 1557705522 Enrollment ID: I20240216004496 |
| Provider Name | David Horras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295093573 PECOS PAC ID: 0648614669 Enrollment ID: I20240219000759 |
| Provider Name | Forrest Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679227615 PECOS PAC ID: 9436597754 Enrollment ID: I20240405001893 |
| Provider Name | Casey Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326716135 PECOS PAC ID: 3274972096 Enrollment ID: I20240412002387 |
| Provider Name | Angelia Helen Thorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639711302 PECOS PAC ID: 0749629285 Enrollment ID: I20240417002371 |
| Provider Name | Jill Boatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487314423 PECOS PAC ID: 9830582717 Enrollment ID: I20240425002174 |
| Provider Name | Jennifer Janelle Goodall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427676063 PECOS PAC ID: 4587004700 Enrollment ID: I20240503002651 |
| Provider Name | Heidi Ann Fanslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003638255 PECOS PAC ID: 5799212361 Enrollment ID: I20241219003870 |
| Provider Name | Emily Moorhead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619791183 PECOS PAC ID: 6800318239 Enrollment ID: I20250314002270 |
| Provider Name | Charissa Graham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659061588 PECOS PAC ID: 7911427612 Enrollment ID: I20250321003408 |
| Provider Name | Gyoice Abatey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174319750 PECOS PAC ID: 1951820711 Enrollment ID: I20250523002096 |
Boise Behavioral Medicine Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
Saint Alphonsus Regional Medical Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 W Bannock St # Ss, Boise, ID 83702 Phone: 208-602-7007 | |
Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 |