Individual provider Active NPI

Jennifer R Stanley, LPC

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1285413898
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-9875 Issued in ID
Practice address
2950 E Magic View Dr Ste 192
Meridian, ID 83642-6246
Phone
(208) 863-6434
NPI assigned
Sep 22, 2023
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-9875 ID Primary

Addresses

Primary practice location

2950 E Magic View Dr Ste 192
Meridian, ID 83642-6246

Mailing address

6143 S Moonfire Way
Boise, ID 83709-6574
Phone (208) 863-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003643 ID Practitioner - Mental Health Counselor 3173019858 Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11949 W Hickory Dr
Boise, ID 83713-2464

4948 W Kootenai St
Suite 102
Boise, ID 83705-2081
Phone (208) 519-0811

PO Box
Suite 190304
Boise, ID 83719-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-9875IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Life Counseling PLLC Mental Health PastSince Oct 6, 2019 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, 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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1285413898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 S MOONFIRE WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096574",
            "telephone_number": "208-863-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 192",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426246",
            "telephone_number": "208-863-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.