Individual provider Active NPI

Ryan Vigilant, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1508481748
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-7743 Issued in ID
Practice address
671 E Riverpark LN Ste 120
Boise, ID 83706-4000
Phone
(601) 207-2103
NPI assigned
Jun 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPC-7743 ID Primary

Addresses

Primary practice location

671 E Riverpark LN Ste 120
Boise, ID 83706-4000

Mailing address

671 E Riverpark LN Ste 120
Boise, ID 83706-4000
Phone (601) 207-2103

Other practice location 1

3716 E Wormwood Ct
Boise, ID 83716-6936
Phone (646) 427-5785

Other practice location 2

4 Ogden Ave
Nampa, ID 83651-2371
Phone (208) 505-4314

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

State licenses

LicenseStateTypeSpecialty
LPC-7743IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vigilant Counseling CurrentSince Mar 7, 2021 Accepting new patients

Locations

671 E Riverpark Ln
Ste 120
Boise, ID 83706
Phone (601) 207-2103

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.

NPI Registry JSON

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1508481748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064000",
            "telephone_number": "601-207-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E RIVERPARK LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064000",
            "telephone_number": "601-207-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3716 E Wormwood Ct",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837166936",
            "country_code": "US",
            "telephone_number": "646-427-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836512371",
            "country_code": "US",
            "telephone_number": "208-505-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGILANT",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7743",
            "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 Feb 28, 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.