Active NPI
Heidi A. Eld, M. A., L. C. P. C.
- Professional Counselor
- Meridian, ID
National Provider Identifier
1457639338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5340
- Practice address
- 82 S Baltic PL Ste 103
Meridian, ID 83642-5935 - Phone
- (208) 794-1509
- NPI assigned
- Jul 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 5340 | ID | Primary |
Addresses
Primary practice location
82 S Baltic PL Ste 103
Meridian, ID 83642-5935
Mailing address
6298 E Monroe St
Nampa, ID 83687-9169
Phone (208) 794-1509
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 |
|---|---|---|---|
| 5340 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1457639338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6298 E MONROE ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879169",
"telephone_number": "208-794-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 S BALTIC PL STE 103",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425935",
"telephone_number": "208-794-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELD",
"first_name": "HEIDI",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "M. A., L. C. P. C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "5340",
"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 Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.