AMY HERZOG, LCSW — NPI 1861534133 (Licensed & Credentialed Day Training, Developmentally Disabled Services in VICTOR, ID)

CMS-1500 Box 24J / 33a • NPI

1861534133

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251C00000X

Licensed & Credentialed Day Training, Developmentally Disabled Services

Box 32 Service Location & ZIP+4

175 BROME DR., #7, VICTOR, ID, 83455

Official NPPES Practice Location

Practice Phone & Referral Fax

(406) 360-1631

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1861534133 (AMY HERZOG, LCSW) 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	`1861534133` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMY HERZOG, LCSW
Plain-English Specialty	Licensed & Credentialed Day Training, Developmentally Disabled Services NUCC Code: `251C00000X` (Day Training, Developmentally Disabled Services)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	175 BROME DR., #7, VICTOR, ID, 83455
Practice Telephone / Fax	Tel: (406) 360-1631
Administrative Mailing Address	175 BROME DR., VICTOR, ID, 83455
Enumeration & Last Sync	Enumerated: 2007-02-13 \| CMS Record Updated: 2009-10-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

175 BROME DR., #7, VICTOR, ID, 83455

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Plain-English Taxonomy & CMS Crosswalk (251C00000X)

What Does Taxonomy Code 251C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251C00000X translates to:
"Licensed & Credentialed Day Training, Developmentally Disabled Services"

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 Day Training, Developmentally Disabled Services for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMY HERZOG, LCSW)

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
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: WY \| License: `Verified` \| Primary: Secondary
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMY HERZOG, LCSW (NPI #1861534133)