Matalynn Belle Eager, LPC
Individual provider Active NPI Mental Health Counselor · Boise, ID
NPI 1093499352 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1093499352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-9572 (ID)
- Practice address
- 2995 N Cole Rd Ste 260
Boise, ID 83704-5976 - Phone
- (208) 888-5905
- Fax
- (208) 888-5513
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612003624 | ID | Practitioner - Mental Health Counselor | 3173034634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Services Inc | Mental Health | Current |
Accepting new patients |
| Family Counseling Services | Past |
Accepting new patients |
Locations
2995 N Cole Rd
Ste 260
Boise, ID 83704
Phone (208) 658-9800
1799 N Lakes Pl
Meridian, ID 83646
Phone (208) 888-5905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-9572 | ID | Yes |
Addresses
Primary practice location
2995 N Cole Rd Ste 260
Boise, ID 83704-5976
Mailing address
2995 N Cole Rd Ste 260
Boise, ID 83704-5976
Phone (208) 888-5905
Other providers in Boise, ID
- Andrew Dysart
- Jodie Dzaich Pounders
- Jeffrey S Dzieczkowski
- Joanna Dziewa
- Erin M Eadington
- Eagle Anesthesia & Oral Surgery PLLC
- Eagle Health and Wellness, Inc
- Eagle Medical Supply LLC
- Eagle'S View Family Medicine, PC
- Kimi Jo Eames
All providers in Boise, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.