Kelsey M Willbur

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9271645 Issued in ID

Practice address

145 E Deer Flat Rd
Kuna, ID 83634-1323

Phone

(208) 922-9001

NPI assigned

Dec 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kuna Counseling Center

  • Community/Behavioral Health Agency
  • Kuna, ID
  • NPI 1568544047

  Mental Health

  NPD
• Balanced Dynamics Counseling PLLC

  • Mental Health Counselor
  • Star, ID
  • NPI 1396589651
  NPD (past)

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1073322434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341323",
            "telephone_number": "208-922-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9628 W State St",
            "address_purpose": "LOCATION",
            "city": "Star",
            "state": "ID",
            "postal_code": "836695858",
            "country_code": "US",
            "telephone_number": "208-505-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLBUR",
        "first_name": "KELSEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9271645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek James Wasden, DPT
• Jessica Watkins, LPC
• Kailah Paige Watson
• Imelda Joan Weddington, NP
• Jamie Lynn Widman, PA-S
• Bonnie Hoppe Williams, LMT
• Timothy Scott Williams, M.ED, CRC
• Patricia D Willis, LPC
• Emily Wise, M.ED., BIP
• Melissa A. Woods, LCSW

• Mental Health Counselor in Kuna, ID
• Providers in Kuna, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.