Active NPI
Jennifer Elaine Zarak, MA, LPC
- Professional Counselor
- Meridian, ID
National Provider Identifier
1407161805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-4571
- Practice address
- 870 N Linder Rd
Suite C
Meridian, ID 83642-8500 - Phone
- (208) 871-0174
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-4571 | ID | Primary |
Addresses
Primary practice location
870 N Linder Rd
Suite C
Meridian, ID 83642-8500
Mailing address
2400 W Rainwater CT
Meridian, ID 83646-1289
Phone (208) 871-0174
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4571 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1407161805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 W RAINWATER CT",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461289",
"telephone_number": "208-871-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 N LINDER RD",
"address_2": "SUITE C",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428500",
"telephone_number": "208-871-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARAK",
"first_name": "JENNIFER",
"middle_name": "ELAINE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-4571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.