Active NPI
Kyle Daniel Carpenter, LPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1013770312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10098
- Practice address
- 1070 N Curtis Rd Ste 250
Boise, ID 83706-1258 - Phone
- (208) 392-1317
- NPI assigned
- Jan 31, 2024
- Last updated
- Feb 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-10098 | ID | Primary |
Addresses
Primary practice location
1070 N Curtis Rd Ste 250
Boise, ID 83706-1258
Mailing address
2023 E Sherman Ave
Nampa, ID 83686-7300
Phone (208) 697-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-10098 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Counseling & Wellness LLC | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1922467976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1013770312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 E SHERMAN AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836867300",
"telephone_number": "208-697-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N CURTIS RD STE 250",
"city": "BOISE",
"state": "ID",
"postal_code": "837061258",
"telephone_number": "208-392-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "KYLE",
"middle_name": "DANIEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-10098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.