Individual provider Active NPI

Rylee Mae Graves, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1396474268
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8895 Issued in ID
Practice address
500 W Idaho St Ste 201
Boise, ID 83702-5755
Phone
(208) 380-1716
NPI assigned
Jun 7, 2022
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8895 ID Primary

Addresses

Primary practice location

500 W Idaho St Ste 201
Boise, ID 83702-5755

Mailing address

500 W Idaho St Ste 201
Boise, ID 83702-5755
Phone (208) 380-1716

Other names 1

  • Mrs. Rylee Mae Graves Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8895IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rylee Graves Counseling LLC Professional CurrentSince Nov 19, 2023 Accepting new patients
Acceptance Counseling Services PastSince Jun 1, 2022 Accepting new patients

Locations

500 W Idaho St
Ste 201
Boise, ID 83702
Phone (208) 380-1716

Organizations & group practices 2

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1396474268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W IDAHO ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025755",
            "telephone_number": "208-380-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W IDAHO ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025755",
            "telephone_number": "208-380-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "RYLEE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYLEE",
            "last_name": "GRAVES",
            "middle_name": "MAE",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.