Active NPI
Cade Kirkhart, MCOUN, LPC, NCC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1275015703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7720
- Practice address
- 6126 W State St Ste 309
Boise, ID 83703-2741 - Phone
- (208) 880-9559
- NPI assigned
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 7720 | ID | Primary |
Addresses
Primary practice location
6126 W State St Ste 309
Boise, ID 83703-2741
Mailing address
6126 W State St Ste 309
Boise, ID 83703-2741
Phone (208) 880-9559
Other practice location 1
1720 N Westgate Dr
Boise, ID 83704-7164
Phone (208) 334-0800
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 |
|---|---|---|---|
| 7720 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Idaho | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1790131027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1275015703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 W STATE ST STE 309",
"city": "BOISE",
"state": "ID",
"postal_code": "837032741",
"telephone_number": "208-880-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 W STATE ST STE 309",
"city": "BOISE",
"state": "ID",
"postal_code": "837032741",
"telephone_number": "208-880-9559"
}
],
"practiceLocations": [
{
"address_1": "1720 N Westgate Dr",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837047164",
"country_code": "US",
"telephone_number": "208-334-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKHART",
"first_name": "CADE",
"credential": "MCOUN, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "7720",
"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 Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.