Charley Mason

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

Y6745888 Issued in ID

Practice address

1111 S Orchard St Ste 110
Boise, ID 83705-1961

Phone

(208) 908-3232

NPI assigned

Sep 1, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1265341820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 E APHRODITE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166998",
            "telephone_number": "208-908-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-908-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CHARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "Y6745888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E River MD PA
• Mary Lynn Young, MD PLLC
• Enock Masengesho
• Autumn Rose Mason, AGACNP-BC
• Barbara J Mason, PHARM D
• Laura Mason
• Stone Christopher Mason
• Massage Central LLC
• Philippe A. Masser, M.D.
• Rachel D Mast, CPM, LM

• Case Manager/Care Coordinator in Boise, ID
• Providers in Boise, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.