Roxanne L Pickerel, M.S., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC4245 Issued in ID

Practice address

203 W Fort St
Boise, ID 83702-4528

Phone

(208) 841-8109

Fax

(208) 203-1879

NPI assigned

Jun 16, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2024 through Sep 23, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roxanne Pickerel LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1114786910
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1003101189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024528",
            "telephone_number": "208-841-8109",
            "fax_number": "208-203-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024528",
            "telephone_number": "208-841-8109",
            "fax_number": "208-203-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKEREL",
        "first_name": "ROXANNE",
        "middle_name": "L",
        "credential": "M.S., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Marshall Piccinini
• Nita Piccioni, PT
• Molly C Piccono, PA
• Allan Pichay
• Erika Meiners Pickens, M.COUN, LPC
• Mikaela Pickering, DO
• Christine Pickford, PH.D.
• Shanna Dee Pickren, L.C.S.W.
• Stefen Jule Picton, PTA
• Picu Associates, LLC

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.