Healthcare Provider Details

I. General information

NPI: 1518884048
Provider Name (Legal Business Name): BLUE MEADOW COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 E FAIRVIEW AVE
MERIDIAN ID
83642-1806
US

IV. Provider business mailing address

6996 N AGRARIAN AVE
MERIDIAN ID
83646-4533
US

V. Phone/Fax

Practice location:
  • Phone: 661-827-7177
  • Fax:
Mailing address:
  • Phone: 661-827-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEL BARNUM
Title or Position: CLINICAL SOCIAL WORKER
Credential:
Phone: 661-827-7177