Individual provider Active NPI

Melinda Kaserman, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1073853065
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4039 Issued in ID
Practice address
740 E Warm Springs Ave
Boise, ID 83712-6420
Phone
(208) 343-7797
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4039 ID Primary

Addresses

Primary practice location

740 E Warm Springs Ave
Boise, ID 83712-6420

Mailing address

5157 N Starry Night Ave
Meridian, ID 83646-5404
Phone (208) 440-5464

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

State licenses

LicenseStateTypeSpecialty
LPC-4039IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melinda Kaserman, LLC Current Accepting new patients
Children'S Home Society of Idaho Past Accepting new patients
Children'S Home Society of Idaho Past Accepting new patients

Locations

429 SW 5th Ave
Ste 110
Meridian, ID 83642
Phone (208) 409-1354

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1073853065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 N STARRY NIGHT AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465404",
            "telephone_number": "208-440-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E WARM SPRINGS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126420",
            "telephone_number": "208-343-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASERMAN",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4039",
            "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 Feb 27, 2013; 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.