Nicole Berenger Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NICOLE BERENGER COUNSELING LLC

Practice address

4346 W Rose Hill St Ste C
Boise, ID 83705-5193

Phone

(208) 963-8132

Fax

(208) 203-0942

NPI assigned

Jan 27, 2022

Last updated

Oct 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole BerengerNPI 1285128124

Title

LCPC

Phone

(208) 963-8132

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Berenger

  • Professional Counselor
  • Boise, ID
  • NPI 1285128124
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1336892686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 W ROSE HILL ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055193",
            "telephone_number": "208-963-8132",
            "fax_number": "208-203-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 W ROSE HILL ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055193",
            "telephone_number": "208-963-8132",
            "fax_number": "208-203-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BERENGER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BERENGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "208-963-8132"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285128124",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keaton Nicholson
• George Nickel, LMSW
• Marissa Nickel, LCSW
• Nicole Nickell, OT
• Douglas W Nicolarsen
• Nicole Thurston, M.D., PLLC
• Timothy Steven Nicolello, ATC
• Karissa I Niece
• Matt Niece, LPC
• Blake D Niederhauser, MD

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.