Active NPI
Brooke Cedarleaf
- Professional Counselor
- Boise, ID
National Provider Identifier
1063278372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9381910
- Practice address
- 411 N Allumbaugh St
Boise, ID 83704-9210 - Phone
- (208) 376-3200
- NPI assigned
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 9381910 | ID | Primary |
Addresses
Primary practice location
411 N Allumbaugh St
Boise, ID 83704-9210
Mailing address
6135 N River Glen PL
Garden City, ID 83714-1268
Phone (208) 391-5096
Other practice location 1
6135 N River Glen Pl
Boise, ID 83714-1268
Phone (208) 391-5096
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": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1063278372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 N RIVER GLEN PL",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141268",
"telephone_number": "208-391-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N ALLUMBAUGH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049210",
"telephone_number": "208-376-3200"
}
],
"practiceLocations": [
{
"address_1": "6135 N River Glen Pl",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837141268",
"country_code": "US",
"telephone_number": "208-391-5096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEDARLEAF",
"first_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "9381910",
"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 Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.