Nathan Richard Baldwin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6263 S Lone Tree Ave
Boise, ID 83709-7890

Phone

(208) 821-2415

NPI assigned

Feb 3, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1497569289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 S LONE TREE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097890",
            "telephone_number": "208-821-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 S LONE TREE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097890",
            "telephone_number": "208-821-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Recovery LLC
• Balanced Rock Wellness, LLC
• Kimberly Rose Balangue, CRNA
• Theresa Balcerak, NP
• Caitlin Baldwin
• Tobin Chambers Baldwin, LPC
• Lauren D. Bales, M.D.
• Andrew Ball, OD
• David Liam Ball, CYPSS, CPSS
• Joan E. Ball, RN, CNM

• All providers in Boise, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.