Active NPI
Elena Maria Mabanta, LPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1184544884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2381112
- Practice address
- 3852 N Eagle Rd
Boise, ID 83713-0750 - Phone
- (208) 378-0014
- NPI assigned
- Jul 21, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2381112 | ID | Primary |
Addresses
Primary practice location
3852 N Eagle Rd
Boise, ID 83713-0750
Mailing address
3997 S Constitution Way
Boise, ID 83706-5817
Phone (503) 545-0481
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center at Tree City, Inc. | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1083246904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1184544884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3997 S CONSTITUTION WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837065817",
"telephone_number": "503-545-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3852 N EAGLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130750",
"telephone_number": "208-378-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABANTA",
"first_name": "ELENA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "2381112",
"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 Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.