Mina Askaryar
Individual provider Active NPI Peer Specialist · Boise, ID
NPI 1538037668 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1538037668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 10096 W Fairview Ave Ste 160
Boise, ID 83704-5004 - Phone
- (208) 908-7882
- Fax
- (208) 908-7883
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avanzar Wellness LLC | Current |
Accepting new patients |
Locations
10096 W Fairview Ave
Ste 160
Boise, ID 83704
Phone (208) 908-7882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | ID | Yes |
Addresses
Primary practice location
10096 W Fairview Ave Ste 160
Boise, ID 83704-5004
Mailing address
10096 W Fairview Ave Ste 160
Boise, ID 83704-5004
Phone (208) 908-7882
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.