Active NPI
Dori Lin Halbert, LCPC
- Mental Health Counselor
- Nampa, ID
National Provider Identifier
1457517567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC 4061
- Practice address
- 4170 E Amity Ave
Nampa, ID 83687-8802 - Phone
- (208) 465-4985
- NPI assigned
- Jul 29, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC 4061 | ID | Primary |
Addresses
Primary practice location
4170 E Amity Ave
Nampa, ID 83687-8802
Mailing address
207 Mountain View Dr
Nampa, ID 83686-8867
Phone (208) 880-0720
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 4061 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1457517567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MOUNTAIN VIEW DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836868867",
"telephone_number": "208-880-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 E AMITY AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836878802",
"telephone_number": "208-465-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBERT",
"first_name": "DORI",
"middle_name": "LIN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC 4061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.