Susan Kelli Shake

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1655 W Fairview Ave Ste 209
Boise, ID 83702-5190

Phone

(208) 352-0343

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Treasure Valley Therapy, LLC

  • Marriage & Family Therapist
  • Boise, ID
  • NPI 1578228789
  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114801974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 209",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-352-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 209",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-352-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKE",
        "first_name": "SUSAN",
        "middle_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Shaffer
• Shawnee Shaffer
• Toby Shaffer, D.C.
• Madelein C Shafferman, NMD
• Rakesh R Shah, MD
• Terry Shake
• Elizabeth Ada Shakespeare, LMT
• Emily Elizabeth Shaleen, BCBA
• Mark Richard Shaltry, OTR CHT
• Shelby Shanaberger, RD

• Marriage & Family Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.