Individual provider Active NPI

Meghan Eileen Minshall, LPC

  • Professional Counselor
  • McCall, ID
National Provider Identifier
1417329624
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5815 Issued in ID
Practice address
301 Deinhard LN
McCall, ID 83638-4703
Phone
(208) 630-2450
Fax
(208) 634-4055
NPI assigned
Oct 27, 2015
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 LPC-5815 ID Primary

Addresses

Primary practice location

301 Deinhard LN
McCall, ID 83638-4703

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other names 1

  • Meghan Lightfoot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515000531 ID Practitioner - Mental Health Counselor 8325566276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic - McCall LLCGroup PAC ID 7618127994, 44 clinicians

Practice addresses (Care Compare)

200 Forest St
McCall, ID 83638-5256
Phone (208) 630-2470

209 Forest St
McCall, ID 83638-5256
Phone (208) 637-1776

211 Forest St
McCall, ID 83638-5256
Phone (208) 634-2225

301 Deinhard LN
McCall, ID 83638-4703
Phone (208) 630-2450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-5815IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M Minshall LCPC LLC Professional Current Accepting new patients
St Lukes Clinic - McCall LLC CurrentSince Feb 22, 2025 Accepting new patients

Locations

211 W Forest St
McCall, ID 83638
Phone (208) 467-7546

301 E Deinhard Ln
McCall, ID 83638
Phone (208) 376-3591

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1417329624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DEINHARD LN",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384703",
            "telephone_number": "208-630-2450",
            "fax_number": "208-634-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSHALL",
        "first_name": "MEGHAN",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "LIGHTFOOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McCall, ID

Sources for this page

Verify at the official NPI Registry.