ELEANOR HEALTH PROFESSIONAL TX, PLLC
NPI 1376334680
Family Medicine - Addiction Medicine in Boise, ID

Active since May 15, 2025
950 W BANNOCK ST STE 1100, BOISE, ID 83702(781) 487-1107 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eleanor Health Professional Tx, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEANOR HEALTH PROFESSIONAL TX, PLLC (NPI 1376334680) is a healthcare organization registered as an addiction medicine in Boise, Idaho and active in the NPI registry since May 2025. The organization lists Nzinga Ajabu Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1376334680
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameELEANOR HEALTH PROFESSIONAL TX, PLLC
Location Address950 W BANNOCK ST STE 1100Boise, ID 83702-6140
Mailing AddressPo Box 386Portsmouth, NH 03802-0386 · (781) 487-1107
Organization SubpartNo
Authorized OfficialNzinga Ajabu HarrisonOwner · (617) 419-0858
Enumeration DateMay 15, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1376334680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
950 W BANNOCK ST STE 1100, Boise, ID 83702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleanor Health Professional Tx, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eleanor Health Professional Tx, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1871919498
1337 S GRAND BLVD STE 110
Spokane, WA 99202
(509) 795-0195
✔ PECOS✔ Accepts Medicare284 mi
Psychiatry
NPI 1518099910
123 PROFESSIONAL PARK DR STE 101
Mooresville, NC 28117
(704) 799-0202
✔ PECOS1,951 mi
Obstetrics/Gynecology
NPI 1700915873
920 CHURCH ST N STE 255E
Concord, NC 28025
(704) 403-1632
✔ PECOS✔ Accepts Medicare1,967 mi
Psychiatry
NPI 1326492125
230 E RIDGEWOOD AVE
Paramus, NJ 07652
(201) 967-4000
✔ PECOS✔ Accepts Medicare2,145 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eleanor Health Professional Tx, PLLC's NPI number?

The NPI number for Eleanor Health Professional Tx, PLLC is 1376334680. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Eleanor Health Professional Tx, PLLC located?

Eleanor Health Professional Tx, PLLC is located at 950 W Bannock St Ste 1100, Boise, ID 83702. The listed phone number is (781) 487-1107.

What is Eleanor Health Professional Tx, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Eleanor Health Professional Tx, PLLC enrolled in Medicare?

Yes. Eleanor Health Professional Tx, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eleanor Health Professional Tx, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Eleanor Health Professional Tx, PLLC, in Mental Health Counselor, Obstetrics/Gynecology and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eleanor Health Professional Tx, PLLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.