Organization Active NPI

Boise Experiential Therapy Collective

  • Professional Counselor
  • Garden City, ID
National Provider Identifier
1114883675
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BOISE EXPERIENTIAL THERAPY COLLECTIVE
Practice address
112 E 33Rd St
Garden City, ID 83714-1330
Phone
(986) 205-9514
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Alicia M Belzer, LPC
Title
Director
Phone
(719) 216-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

112 E 33Rd St
Garden City, ID 83714-1330

Mailing address

517 N Archer St
Boise, ID 83706-1903
Phone (986) 205-9514

National Provider Directory

National Provider Directory

Locations

112 E 33rd St
Garden City, ID 83714
Phone (986) 205-9514

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1114883675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N ARCHER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061903",
            "telephone_number": "986-205-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 33RD ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141330",
            "telephone_number": "986-205-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE EXPERIENTIAL THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "M BELZER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-216-3230",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.