Individual provider Active NPI

Garrett Kroon, LCPC

  • Professional Counselor
  • Meridian, ID
National Provider Identifier
1033688007
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-8659 Issued in ID
Practice address
3061 S Meridian Rd Ste 100
Meridian, ID 83642-7962
Phone
(208) 477-8796
NPI assigned
Nov 19, 2018
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X LCPC-8659 ID Primary

Addresses

Primary practice location

3061 S Meridian Rd Ste 100
Meridian, ID 83642-7962

Mailing address

2419 E Massachusetts Ave
Nampa, ID 83686-6295
Phone (208) 477-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 28, 2026 through May 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-8659IDMDProfessional Counselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1033688007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 E MASSACHUSETTS AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866295",
            "telephone_number": "208-477-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S MERIDIAN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427962",
            "telephone_number": "208-477-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROON",
        "first_name": "GARRETT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.