NPI 1578101556 · live from the CMS NPI Registry
Amethyst Counseling And Case Management
Counselor, Mental Health in Meridian, ID. National Provider Identifier 1578101556, active.
NPI record
| NPI | 1578101556 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 3400 E River Valley St Apt J202, Meridian, ID 83646 |
| Practice phone | 907-302-8366 |
| Enumerated | December 20, 2019 |
| Last updated | December 20, 2019 |
| Authorized official | Jamila Gilliam, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Counseling | 103TC1900X | — |
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Professional | 101YP2500X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Registered Nurse, Case Management | 163WC0400X | — |
| Community/Behavioral Health | 251S00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| Day Training/Habilitation Specialist | 373H00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.