Individual provider Active NPI

Garrett Price, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1114405925
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6939 Issued in ID
Practice address
17917 N Evanton Way
Boise, ID 83714-5524
Phone
(208) 409-8120
NPI assigned
Aug 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 6939 ID Primary

Addresses

Primary practice location

17917 N Evanton Way
Boise, ID 83714-5524

Mailing address

17917 N Evanton Way
Boise, ID 83714-5524
Phone (208) 409-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6939IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northend Wellness, LLC CurrentSince Jan 29, 2024 Accepting new patients
Trailhead Counseling and Grief Services LLC Current Accepting new patients
Maitri House Yoga, LLC Past Accepting new patients

Locations

1310 W Hays St
Boise, ID 83702
Phone (208) 803-5339

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1114405925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17917 N EVANTON WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145524",
            "telephone_number": "208-409-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17917 N EVANTON WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145524",
            "telephone_number": "208-409-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "GARRETT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.