Individual provider Active NPI

Jillian Elizabeth Winters, MA, LCPC, NCC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1114234820
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6605 Issued in ID
Practice address
1524 W Hays St Ste 201
Boise, ID 83702-4035
Phone
(208) 971-1220
NPI assigned
Sep 2, 2010
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 6605 ID Primary

Addresses

Primary practice location

1524 W Hays St Ste 201
Boise, ID 83702-4035

Mailing address

1524 W Hays St Ste 201
Boise, ID 83702-4035
Phone (208) 971-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 13, 2024 through Mar 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jillian Winters Current Accepting new patients

Locations

1524 W Hays St
Ste 201
Boise, ID 83702
Phone (208) 481-8546

Organizations & group practices 1

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1114234820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024035",
            "telephone_number": "208-971-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024035",
            "telephone_number": "208-971-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "JILLIAN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "6605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.