Chad R Christensen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-5201 Issued in ID

Practice address

671 E Riverpark LN Ste 220
Boise, ID 83706

Phone

(208) 344-2071

Fax

(208) 344-2075

NPI assigned

Feb 14, 2018

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1396245601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066559",
            "telephone_number": "208-344-2071",
            "fax_number": "208-344-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-344-2071",
            "fax_number": "208-344-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CHAD",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Beth Chrisman, DDS
• Jill Scaglia Chrisman, LCSW
• Dan Lyle Christen, CRNA
• Alexis Christensen
• Amanda Christensen
• David W Christensen, MD
• Donna J Christensen, FNP
• Edene Christensen
• Jacob Christensen, DMD
• Joshua Craig Christensen, PHARMD

• 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 Jul 3, 2018; 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.