Organization Active NPI

Krista Doubleday Counseling LLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1255100871
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KRISTA DOUBLEDAY COUNSELING LLC
Practice address
2577 S Five Mile Rd Ste 102
Boise, ID 83709-2325
Phone
(208) 366-5616
Fax
(208) 639-5464
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Krista Doubleday, LCPCNPI 1235624578
Title
Owner
Phone
(208) 366-5616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2577 S Five Mile Rd Ste 102
Boise, ID 83709-2325

Mailing address

6095 S Santa Cruz Ave
Boise, ID 83709-5607
Phone (208) 366-5616

National Provider Directory

National Provider Directory

Locations

2577 S Five Mile Rd
Ste 102
Boise, ID 83709
Phone (208) 366-5616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1255100871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 S SANTA CRUZ AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095607",
            "telephone_number": "208-366-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 S FIVE MILE RD STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092325",
            "telephone_number": "208-366-5616",
            "fax_number": "208-639-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA DOUBLEDAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "DOUBLEDAY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-366-5616",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Dec 22, 2023; 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.