Individual provider Active NPI

Todd William Harris

  • Professional Counselor
  • Kuna, ID
National Provider Identifier
1114814241
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4375160 Issued in ID
Practice address
145 E Deer Flat Rd
Kuna, ID 83634-1323
Phone
(208) 922-9001
Fax
(208) 922-3778
NPI assigned
Jun 20, 2025
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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 4375160 ID Primary

Addresses

Primary practice location

145 E Deer Flat Rd
Kuna, ID 83634-1323

Mailing address

145 E Deer Flat Rd
Kuna, ID 83634-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4375160IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kuna Counseling Center Mental Health CurrentSince Sep 19, 2025 Accepting new patients

Locations

145 E Deer Flat Rd
Kuna, ID 83634
Phone (208) 922-9001

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1114814241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341323",
            "fax_number": "208-922-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341323",
            "telephone_number": "208-922-9001",
            "fax_number": "208-922-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "4375160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.