Active NPI
Amanda Lachance, MA, LPC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1174791107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-3571
- Practice address
- 5353 Franklin Rd
Boise, ID 83705-1112 - Phone
- (208) 342-0374
- Fax
- (208) 331-2017
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-3571 | ID | Primary |
Addresses
Primary practice location
5353 Franklin Rd
Boise, ID 83705-1112
Mailing address
5353 Franklin Rd
Boise, ID 83705-1112
Phone (208) 342-0374
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010165071 | Other | REGENCE BLUE SHIELD OF ID | |
| 807499000 | Medicaid | ID |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-3571 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Center for Autism, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Case Management Agency
- Boise, ID
- NPI 1740463132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1174791107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 FRANKLIN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837051112",
"telephone_number": "208-342-0374",
"fax_number": "208-331-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 FRANKLIN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837051112",
"telephone_number": "208-342-0374",
"fax_number": "208-331-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACHANCE",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-3571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010165071",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807499000",
"state": "ID"
}
],
"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 Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.