Samantha Cicero, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8331513 Issued in ID

Practice address

6305 W Overland Rd
Boise, ID 83709-3029

Phone

(208) 559-0410

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hand in Hand LLC

  dba Hand In Hand Behavioral Health

  • Primary Care Nurse Practitioner
  • Boise, ID
  • NPI 1154817021

  Community/Behavioral Health

  NPD
• Noble Intent

  • Adolescent and Children Mental Health Clinic/Center
  • Boise, ID
  • NPI 1992502827
  NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1225720717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093029",
            "telephone_number": "208-559-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093029",
            "telephone_number": "208-559-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-9479",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8331513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Anderson Chugg, M.D.
• Lagilelei Church
• Leona Jo'Anne' Church, CPNP
• Nathan John Church, PA-C
• Matthew Churns, PHARM.D.
• Stephanie Ciesla, PNP
• Mitzi M Cieslak, NP
• Carl Ciplinski, NP
• Michael J Citrone, MD
• Maureen Elizabeth Clahan, LMFT

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.