NPIMap

Organization Active NPI

Leyline Advocates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
National Provider Identifier
1114058062
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
807127700 Issued in ID
Legal business name
LEYLINE ADVOCATES, LLC
Practice address
921 S Orchard St Ste 100
Boise, ID 83705-1916
Phone
(208) 949-3966
Fax
(208) 344-9898
NPI assigned
Mar 9, 2007
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Jim Daniels
Title
Managing Member
Phone
(208) 344-9797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 807127700 ID Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

921 S Orchard St Ste 100
Boise, ID 83705-1916

Mailing address

921 S Orchard St Ste 100
Boise, ID 83705-1916
Phone (208) 949-3966

Other identifiers 1

IdentifierTypeStateIssuer
807127700MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Leyline Advocates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2210 S Broadway Ave
Ste 202
Boise, ID 83706

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1114058062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051916",
            "telephone_number": "208-949-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051916",
            "telephone_number": "208-949-3966",
            "fax_number": "208-344-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYLINE ADVOCATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-344-9797"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "807127700",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807127700",
            "state": "ID"
        }
    ],
    "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 Dec 8, 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.