Individual provider Active NPI

Gregory J Dunkley, M.S.

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1265653190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-3165 Issued in ID
Practice address
10740 W Fairview Ave
Suite 100
Boise, ID 83713-7926
Phone
(208) 376-0190
Fax
(208) 658-6299
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-3165 ID Primary

Addresses

Primary practice location

10740 W Fairview Ave
Suite 100
Boise, ID 83713-7926

Mailing address

12485 W Rockbury St
Boise, ID 83709-0015
Phone (208) 921-4129

Other identifiers 2

IdentifierTypeStateIssuer
000010156963OtherIDREGENCE BS IDENT. #
Q7421OtherIDBCBS SERVICE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 19, 2024 through Nov 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT-3165IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Mental Health Current Accepting new patients
Journey Mental Health, Inc. Current Accepting new patients
Inroads Inc. Past Accepting new patients

Locations

3288 E Pine Ave
Meridian, ID 83642
Phone (208) 888-8886

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265653190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 W ROCKBURY ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090015",
            "telephone_number": "208-921-4129",
            "fax_number": "208-658-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 W FAIRVIEW AVE",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137926",
            "telephone_number": "208-376-0190",
            "fax_number": "208-658-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKLEY",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS IDENT. #",
            "identifier": "000010156963",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SERVICE #",
            "identifier": "Q7421",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.