Raelynn Fritz Grant, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 4853 Issued in ID

Practice address

410 S Orchard St Ste 132
Boise, ID 83705-1288

Phone

(208) 761-0980

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 31, 2025 through Mar 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Raelynn Grant Counseling

  • Adult Mental Health Clinic/Center
  • Boise, ID
  • NPI 1801691647
  NPD Authorized official

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1376804179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S COLORADO AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063741",
            "telephone_number": "208-761-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST STE 132",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051288",
            "telephone_number": "208-761-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "RAELYNN",
        "middle_name": "FRITZ",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC 4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ann Grant, MD
• Barbara Lynn Grant, MS, RDN, CSO
• Halie Grant
• Kara Renee Grant, LPC
• Kevin E Grant, M.D.
• Sarina Marie Grant
• Tonia C Grantham, LPN
• Brian E Granvall, PA-C
• David J Grapp, LPC
• Molly Gratton, LSCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.