Individual provider Active NPI

Matalynn Belle Eager, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1093499352
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-9572 Issued in 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
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-9572 ID Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612003624 ID Practitioner - Mental Health Counselor 3173034634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-9572IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Services Inc Mental Health CurrentSince Apr 7, 2025 Accepting new patients
Family Counseling Services PastSince Apr 7, 2025 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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1093499352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 N COLE RD STE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045976",
            "telephone_number": "208-888-5905",
            "fax_number": "208-888-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 N COLE RD STE 260",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045976",
            "telephone_number": "208-888-5905",
            "fax_number": "208-888-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGER",
        "first_name": "MATALYNN",
        "middle_name": "BELLE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.