Active NPI
Carrie Panzer, LCSW
- Professional Counselor
- Boise, ID
National Provider Identifier
1548723604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCSW-34161
- Practice address
- 671 E Riverpark LN Ste 100
Boise, ID 83706-4000 - Phone
- (208) 297-3370
- NPI assigned
- Apr 7, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCSW-34161 | ID | Primary |
Addresses
Primary practice location
671 E Riverpark LN Ste 100
Boise, ID 83706-4000
Mailing address
671 E Riverpark LN Ste 100
Boise, ID 83706-4000
Phone (208) 297-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 20, 2023 through Dec 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-34161 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554595200000",
"number": "1548723604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 E RIVERPARK LN STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837064000",
"telephone_number": "208-297-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 E RIVERPARK LN STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837064000",
"telephone_number": "208-297-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZER",
"first_name": "CARRIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2019-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCSW-34161",
"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 Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.