Individual provider Active NPI

Jeffery Russell Meador, LMFT

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1043977390
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-9253 Issued in ID
Practice address
8610 W Overland Rd
Boise, ID 83709-1645
Phone
(208) 954-8711
Fax
(208) 375-2217
NPI assigned
Nov 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-9253 ID Primary

Addresses

Primary practice location

8610 W Overland Rd
Boise, ID 83709-1645

Mailing address

PO Box 450
Garden Valley, ID 83622-0450
Phone (208) 462-3074

Other practice location 1

25 Miracle Ln
Garden Valley, ID 83622
Phone (208) 462-3074

Other practice location 2

6565 W Emerald St
Boise, ID 83704-8737
Phone (208) 514-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 N Raymond St
Boise, ID 83704-9251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-9253IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meador Family Therapy LLC Marriage & Family Therapist Current Accepting new patients
Full Circle Health, Inc. PastSince Sep 18, 2023 Accepting new patients
Project Patch PastSince Nov 28, 2021 Accepting new patients

Organizations & group practices 3

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1043977390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836220450",
            "telephone_number": "208-462-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091645",
            "telephone_number": "208-954-8711",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Miracle Ln",
            "address_purpose": "LOCATION",
            "city": "Garden Valley",
            "state": "ID",
            "postal_code": "83622",
            "country_code": "US",
            "telephone_number": "208-462-3074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 W Emerald St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048737",
            "country_code": "US",
            "telephone_number": "208-514-2510",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "JEFFERY",
        "middle_name": "RUSSELL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-9253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.