Active NPI
Maria Mittag Chalfant
- Mental Health Counselor
- Garden City, ID
National Provider Identifier
1538055843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5271359
- Practice address
- 9169 W State St Ste 272
Garden City, ID 83714-1733 - Phone
- (208) 508-2202
- NPI assigned
- Jun 13, 2025
- Last updated
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5271359 | ID | Primary |
Addresses
Primary practice location
9169 W State St Ste 272
Garden City, ID 83714-1733
Mailing address
1215 N 24TH St
Boise, ID 83702-2304
Phone (208) 508-2202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5271359 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northlight Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
9169 W State St
Garden City, ID 83714
Phone (208) 402-8027
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1538055843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N 24TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837022304",
"telephone_number": "208-508-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9169 W STATE ST STE 272",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141733",
"telephone_number": "208-508-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALFANT",
"first_name": "MARIA",
"middle_name": "MITTAG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "5271359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.