Active NPI
Julia Rose Myers, LCPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1477597011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-3406
- Practice address
- 2500 W Kootenai St
Boise, ID 83705-2408 - Phone
- (208) 908-0582
- Fax
- (208) 908-0580
- NPI assigned
- Jun 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-3406 | ID | |
| Mental Health Counselor | 101YM0800X | LH00010983 | WA | |
| Professional Counselor | 101YP2500X | LCPC-3406 | ID | Primary |
Addresses
Primary practice location
2500 W Kootenai St
Boise, ID 83705-2408
Mailing address
2500 W Kootenai St
Boise, ID 83705-2408
Phone (208) 908-0582
Other names 1
- Julie Myers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 24, 2024 through Apr 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010983 | WA | MD | Mental Health Counselor |
| LCPC-3406 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boise Counseling Center, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Boise, ID
- NPI 1760081459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1477597011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W KOOTENAI ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837052408",
"telephone_number": "208-908-0582",
"fax_number": "208-908-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W KOOTENAI ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837052408",
"telephone_number": "208-908-0582",
"fax_number": "208-908-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "JULIA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-3406",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00010983",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-3406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MYERS",
"credential": "LCPC",
"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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.