Active NPI
Evelyn Fleenor, M.C
- Counselor
- Boise, ID
National Provider Identifier
1265822282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC4327
- Practice address
- 7412 W Preece Dr
Boise, ID 83704-9039 - Phone
- (208) 830-9914
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC4327 | ID | Primary |
Addresses
Primary practice location
7412 W Preece Dr
Boise, ID 83704-9039
Mailing address
7412 W Preece Dr
Boise, ID 83704-9039
Phone (208) 830-9914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC4327 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1265822282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 W PREECE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837049039",
"telephone_number": "208-830-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 W PREECE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837049039",
"telephone_number": "208-830-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEENOR",
"first_name": "EVELYN",
"credential": "M.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC4327",
"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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.