Individual provider Active NPI

Allison Renee Willets, LCPC, CMHC

  • Counselor
  • Boise, ID
National Provider Identifier
1043807712
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5418 N Eagle Rd Ste 160
Boise, ID 83713-0100
Phone
(208) 856-4859
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

5418 N Eagle Rd Ste 160
Boise, ID 83713-0100

Mailing address

5418 N Eagle Rd Ste 160
Boise, ID 83713-0100
Phone (208) 856-4859

Other practice location 1

8950 W Emerald St Ste 178
Boise, ID 83704-8296
Phone (208) 376-7083

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

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1043807712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130100",
            "telephone_number": "208-856-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130100",
            "telephone_number": "208-856-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 W Emerald St Ste 178",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048296",
            "country_code": "US",
            "telephone_number": "208-376-7083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLETS",
        "first_name": "ALLISON",
        "middle_name": "RENEE",
        "credential": "LCPC, CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Jun 20, 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.

Verify at the official NPI Registry.