GROUNDED WELLNESS PLLC - NPI 1609702604 - Social Worker in Boise, ID

Q: What is Grounded Wellness PLLC's NPI number?

The NPI number for Grounded Wellness PLLC is 1609702604. It was assigned to this organization in the NPPES registry on June 18, 2026.

Q: What is Grounded Wellness PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Grounded Wellness Pllc NPPES

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

GROUNDED WELLNESS PLLC (NPI 1609702604) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since June 2026. The organization lists Jackelle Knickrehm, Owner, as its authorized official.

NPPES Registry Identity

NPI1609702604

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameGROUNDED WELLNESS PLLC

Location Address1010 W WASHINGTON STBoise, ID 83702-5446

Mailing Address141 N Palmetto Ave Unit 1241Eagle, ID 83616-8050 · (208) 860-2390

Phone(208) 860-2390

Organization SubpartNo

Authorized OfficialJackelle KnickrehmOwner · (208) 860-2390

Enumeration DateJune 18, 2026

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1609702604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1010 W WASHINGTON ST, Boise, ID 83702

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARISSA KANE LAT, ATC

Specialist/Technologist (Athletic Trainer)