Chrisean Christopher, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-8834 Issued in ID

Practice address

8620 W Emerald St Ste 150
Boise, ID 83704-4839

Phone

(208) 617-3265

Fax

(208) 617-3270

NPI assigned

Sep 8, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1497156590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044839",
            "telephone_number": "208-617-3265",
            "fax_number": "208-617-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044839",
            "telephone_number": "208-617-3265",
            "fax_number": "208-617-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "CHRISEAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-01-18",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LPC-5619",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance C Christofferson, RPH
• Christopher R Wells DMD PC
• Christopher Vaughan, MD PLLC
• Christopher W Hammerle MD CHTD
• Andrea S Christopher, M.D.
• Michelle Stacey Christopher, M.D.
• Chrysalis Counseling
• Chrysalis Counseling LLC
• Jared Anderson Chugg, M.D.
• Lagilelei Church

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.