| All Horizons Inc | |
|
6933 W Emerald St Boise ID 83704-8616 | |
| (208) 321-0634 | |
| (208) 321-1082 |
| Full Name | All Horizons Inc |
|---|---|
| Speciality | Counselor |
| Location | 6933 W Emerald St, Boise, Idaho |
| Authorized Official Name and Position | Kellie Humpherys (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2083210634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Horizons Inc 6933 W Emerald St Boise ID 83704-8616 Ph: (208) 321-0634 | All Horizons Inc 6933 W Emerald St Boise ID 83704-8616 Ph: (208) 321-0634 |
| NPI Number | 1285767574 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/18/2015 |
| Medicare PECOS PAC ID | 0345377958 |
|---|---|
| Medicare Enrollment ID | O20100429000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285767574 | NPI | - | NPPES |
| 8B214 | Other | ID | BLUE CROSS |
| 002803300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kellie Humpherys |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629235353 PECOS PAC ID: 7315074929 Enrollment ID: I20100429000725 |
| Provider Name | David Buch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407269483 PECOS PAC ID: 6204118383 Enrollment ID: I20170125001415 |
| Provider Name | Elizabeth Jeronimo-mejia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265818819 PECOS PAC ID: 8426470824 Enrollment ID: I20200611002158 |
| Provider Name | Aubrey Salmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538701529 PECOS PAC ID: 6204243868 Enrollment ID: I20210325002845 |
| Provider Name | Adrian Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619545936 PECOS PAC ID: 4880097435 Enrollment ID: I20211027002625 |
| Provider Name | Lisa Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346600723 PECOS PAC ID: 7618369380 Enrollment ID: I20220110002538 |
| Provider Name | Shauna Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740928837 PECOS PAC ID: 6406236199 Enrollment ID: I20220712002918 |
| Provider Name | Jeannie Anne Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396265369 PECOS PAC ID: 5193198737 Enrollment ID: I20230302001363 |
| Provider Name | Leslie Szasz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205296134 PECOS PAC ID: 0840626602 Enrollment ID: I20230315002938 |
| Provider Name | Joseph Paul Morisette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508827213 PECOS PAC ID: 7416307525 Enrollment ID: I20240102000476 |
| Provider Name | Heather Ann Hieb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447745989 PECOS PAC ID: 4082057898 Enrollment ID: I20240208003065 |
| Provider Name | Rachael Elizabeth Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174196406 PECOS PAC ID: 9436597846 Enrollment ID: I20240404001757 |
| Provider Name | Elizabeth Ashlea Daffern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861256422 PECOS PAC ID: 6305284472 Enrollment ID: I20240409001851 |
| Provider Name | Ladette Ruplinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336537497 PECOS PAC ID: 6305166794 Enrollment ID: I20240426002678 |
| Provider Name | Bret Donovan Callinan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174043749 PECOS PAC ID: 0244775088 Enrollment ID: I20240716003801 |
| Provider Name | Samantha Kaitlin Legault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205658978 PECOS PAC ID: 3779017256 Enrollment ID: I20241106001119 |
| Provider Name | Joseph Machtinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245068691 PECOS PAC ID: 6800324732 Enrollment ID: I20250106003395 |
| Provider Name | Bonnie Jean Markham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437629714 PECOS PAC ID: 6800325085 Enrollment ID: I20250203001564 |
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