JEREMY F BLADES, CADC — NPI 1184871816 (Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) in BOISE, ID)

CMS-1500 Box 24J / 33a • NPI

1184871816

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YA0400X

Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)

Box 32 Service Location & ZIP+4

5440 W FRANKLIN RD, SUITE 101, BOISE, ID, 83705-1079

✓ 9-Digit EDI 837 ZIP+4 (83705-1079)

Practice Phone & Referral Fax

(208) 336-9076

Fax: (208) 336-9079

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184871816 (JEREMY F BLADES, CADC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184871816` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEREMY F BLADES, CADC
Plain-English Specialty	Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) NUCC Code: `101YA0400X` (Counselor, Addiction (Substance Use Disorder))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5440 W FRANKLIN RD, SUITE 101, BOISE, ID, 83705-1079
Practice Telephone / Fax	Tel: (208) 336-9076 \| Fax: (208) 336-9079
Administrative Mailing Address	605 11TH AVE E, GOODING, ID, 83330-5368
Enumeration & Last Sync	Enumerated: 2008-08-25 \| CMS Record Updated: 2008-08-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5440 W FRANKLIN RD, SUITE 101, BOISE, ID, 83705-1079

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Plain-English Taxonomy & CMS Crosswalk (101YA0400X)

What Does Taxonomy Code 101YA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEREMY F BLADES, CADC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: ID \| License: `1139008` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JEREMY F BLADES, CADC (NPI #1184871816)