Individual provider Active NPI

Emily Rosson, MA, LPC, NCC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1508448507
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-8083 Issued in ID
Practice address
500 W Idaho St Ste 250
Boise, ID 83702-5756
Phone
(208) 274-3897
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-8083 ID Primary

Addresses

Primary practice location

500 W Idaho St Ste 250
Boise, ID 83702-5756

Mailing address

500 W Idaho St Ste 250
Boise, ID 83702-5756
Phone (208) 274-3897

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

LicenseStateTypeSpecialty
LPC-8083IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bitterroot Counseling, LLC Mental Health CurrentSince Aug 1, 2022 Accepting new patients
A Body & Mind Health Services, LLC Mental Health PastSince May 1, 2021 Accepting new patients
A Body & Mind Health Services, LLC Mental Health PastSince Aug 2, 2021 Accepting new patients

Locations

500 W Idaho St
Ste 250
Boise, ID 83702
Phone (208) 274-3897

6126 W State St
Ste 410
Boise, ID 83703

223 N 6th St
Ste 315
Boise, ID 83702
Phone (208) 717-5756

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1508448507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W IDAHO ST STE 250",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025756",
            "telephone_number": "208-274-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W IDAHO ST STE 250",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025756",
            "telephone_number": "208-274-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSON",
        "first_name": "EMILY",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2023; 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.