Roxanne Pickerel LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROXANNE PICKEREL LLC

Practice address

203 W Fort St
Boise, ID 83702-4528

Phone

(208) 841-8109

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Pickerel, LCPCNPI 1003101189

Title

Owner/Practitioner

Phone

(208) 841-8109

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Roxanne L Pickerel, M.S., LCPC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1003101189
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1114786910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024528",
            "telephone_number": "208-841-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024528",
            "telephone_number": "208-841-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE PICKEREL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "PICKEREL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "208-841-8109",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kim Rowell, LPC, CADC
• Jessica Rowland, LPC
• William Patrick Rowland
• Brenda Rowley
• Matthew Dillan Rowley
• Roy Tyler Frizzell, M.D., PLLC
• Charlotte Roy, PT
• Dylan Roy, DC
• Marcel Andrew Roy, MD
• Matthew Roy

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.