Individual provider Active NPI

Mark Senior, NCC, ACADC

  • Professional Counselor
  • Meridian, ID
National Provider Identifier
1124455811
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8321757 Issued in ID
Practice address
1407 W McMillan Rd Ste 120
Meridian, ID 83646-5168
Phone
(208) 870-4627
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8321757 ID Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11606 ID

Addresses

Primary practice location

1407 W McMillan Rd Ste 120
Meridian, ID 83646-5168

Mailing address

2020 S Luxury LN Apt J306
Meridian, ID 83642-4423
Phone (208) 870-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518001982 ID Practitioner - Mental Health Counselor 5890264014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoring Hope - Healing From Trauma and AddictionGroup PAC ID 2961822754, 5 clinicians

Practice addresses (Care Compare)

1407 W McMillan Rd
Suite 120
Meridian, ID 83646-5168
Phone (208) 204-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11606IDMDAddiction (Substance Use Disorder) Counselor
8321757IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ada County Juvenile Court Services Community/Behavioral Health Past Accepting new patients

Organizations & group practices 2

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1124455811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S LUXURY LN APT J306",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424423",
            "telephone_number": "208-870-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W MCMILLAN RD STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465168",
            "telephone_number": "208-870-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "NCC, ACADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8321757",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "11606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.