Michael Chippolla LCSW Acadc LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MICHAEL CHIPPOLLA LCSW ACADC LLC

Practice address

4836 W Targee St
Boise, ID 83705-3655

Phone

(208) 713-5250

NPI assigned

Apr 28, 2026

Organization subpart

No

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

Authorized official

Name

Michael Chippolla, LCSW 35126NPI 1679969976

Title

Owner- Clinical Director

Phone

(208) 713-5250

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Chippolla, LCSW ACADC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1679969976
  NPD Authorized official

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1376489427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 W TARGEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053655",
            "telephone_number": "208-713-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 W TARGEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053655",
            "telephone_number": "208-713-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHIPPOLLA LCSW ACADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CHIPPOLLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER- CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-713-5250",
        "authorized_official_credential": "LCSW 35126"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Meziere, PA-C
• Melissa Ann Mezo, LCSW
• Amy Mgonja, PHARMD
• Peter Mgonja
• James Mhoon, MS
• Michael E. Estess
• Michael E. Estess, M. D. Chartered
• Michael J Coughlin, MD, PA
• Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services
• Michael J. Moorhouse Inc.

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.