Individual provider Active NPI

Marcy Lynn Humphrey, M.S., LMFT

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1023242369
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4299 Issued in ID
Practice address
1524 W Hays St Ste 201
Boise, ID 83702-4035
Phone
(208) 481-8546
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 705 CO
Marriage & Family Therapist 106H00000X 4299 ID Primary

Addresses

Primary practice location

1524 W Hays St Ste 201
Boise, ID 83702-4035

Mailing address

1524 W Hays St Ste 201
Boise, ID 83702-4035
Phone (208) 481-8546

Other practice location 1

411 N Allumbaugh St
Boise, ID 83704-9210
Phone (208) 338-4699

Other practice location 2

1276 W River St Ste 100
Boise, ID 83702-7083
Phone (208) 338-4699

Other practice location 3

1524 W Hays St Ste 201
Boise, ID 83702-4035
Phone (208) 481-8546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4299IDMDMarriage & Family Therapist
705COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hummingbird Counseling & Wellness LLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

1524 W Hays St
Ste 201
Boise, ID 83702
Phone (208) 481-8546

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1023242369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024035",
            "telephone_number": "208-481-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024035",
            "telephone_number": "208-481-8546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 N Allumbaugh St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049210",
            "country_code": "US",
            "telephone_number": "208-338-4699",
            "fax_number": "208-322-4722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 W River St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027083",
            "country_code": "US",
            "telephone_number": "208-338-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 W Hays St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024035",
            "country_code": "US",
            "telephone_number": "208-481-8546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "705",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.