Alicia Belzer, ED.S., MS, LPC

Key facts

NPI

1194263533

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

6261579 (ID)

Practice address

1020 W Main St # 100E
Boise, ID 83702-5789

Phone

(986) 205-9514

NPI assigned

Feb 6, 2017

Sex

Female

Sole proprietor

Yes

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.

• Boise Experiential Therapy Collective Professional Counselor · Garden City, ID · NPI 1114883675
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 11, 2024.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1194263533",
    "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": "719-216-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST # 100E",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025789",
            "telephone_number": "986-205-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELZER",
        "first_name": "ALICIA",
        "credential": "ED.S., MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6261579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

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• Bruce L. Belzer, MD
• Karen Benavente
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• Jean U Bender, MD
• Kathryn Bender

All providers in Boise, ID · Mental Health Counselor in Idaho