Active NPI
Virginia Gilman, M. ED
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1275744658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-95
- Practice address
- 9750 Klondike CT
Boise, ID 83709-1527 - Phone
- (208) 830-6038
- Fax
- (208) 378-8852
- NPI assigned
- May 25, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-95 | ID | Primary |
Addresses
Primary practice location
9750 Klondike CT
Boise, ID 83709-1527
Mailing address
9750 Klondike CT
Boise, ID 83709-1527
Phone (208) 830-6038
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q2735 | Other | ID | BLUE CROSS |
| LCPC-95 | Other | ID | IDAHO STATE LIC NUMBER |
| 000010015793 | Other | ID | BLUE SHIELD |
Other names 1
- Ginny Gilman
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-95 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275744658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 KLONDIKE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837091527",
"telephone_number": "208-830-6038",
"fax_number": "208-378-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 KLONDIKE CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837091527",
"telephone_number": "208-830-6038",
"fax_number": "208-378-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "VIRGINIA",
"credential": "M. ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-95",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Q2735",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE LIC NUMBER",
"identifier": "LCPC-95",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010015793",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINNY",
"last_name": "GILMAN",
"credential": "M. ED",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.