CRESWELL COUNSELING CENTER LLC
NPI 1962263897
Counselor - Mental Health in Boise, ID

Active since January 18, 2024
4172 N CRESWELL WAY, BOISE, ID 83713(208) 863-1404(833) 340-7217 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creswell Counseling Center Llc NPPES

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

CRESWELL COUNSELING CENTER LLC (NPI 1962263897) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since January 2024. The organization lists Rosemary Ladacy Luque, Business Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1962263897
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCRESWELL COUNSELING CENTER LLC
Location Address4172 N CRESWELL WAYBoise, ID 83713-2403
Mailing Address4172 N Creswell WayBoise, ID 83713-2403 · (208) 863-1404 · Fax (833) 340-7217
Fax(833) 340-7217
Organization SubpartNo
Authorized OfficialRosemary Ladacy LuqueBusiness Owner/provider · (208) 863-1404
Enumeration DateJanuary 18, 2024
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1962263897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4172 N CRESWELL WAY, Boise, ID 83713

Other Identifiers 2

Medicaid7365212ID
Other200000014376ID · Blue Cross Of Idaho

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

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

Counselor (Mental Health)
4172 N CRESWELL WAY
BOISE, ID 83713

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 Creswell Counseling Center LLC's NPI number?

The NPI number for Creswell Counseling Center LLC is 1962263897. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Creswell Counseling Center LLC located?

Creswell Counseling Center LLC is located at 4172 N Creswell Way, Boise, ID 83713. The listed phone number is (208) 863-1404.

What is Creswell Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Creswell Counseling Center LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.