Organization Active NPI

Lifematters Counseling Services, LLC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1144235565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-125 Issued in ID
Legal business name
LIFEMATTERS COUNSELING SERVICES, LLC
Practice address
4696 W Overland Rd
268
Boise, ID 83705-2845
Phone
(208) 383-0072
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marjorie Bolles, L. C. P. C.
Title
Owner
Phone
(208) 383-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-125 ID Primary

Addresses

Primary practice location

4696 W Overland Rd
268
Boise, ID 83705-2845

Mailing address

4696 W Overland Rd
268
Boise, ID 83705-2845

National Provider Directory

National Provider Directory

Locations

4696 W Overland Rd
Ste 268
Boise, ID 83705
Phone (208) 383-0072

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144235565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD",
            "address_2": "268",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD",
            "address_2": "268",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052845",
            "telephone_number": "208-383-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMATTERS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLLES",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-383-0072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L. C. P. C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.