Individual provider Active NPI

Krystin Newman, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1558045419
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9597 Issued in ID
Practice address
3501 W Elder St
Boise, ID 83705-4986
Phone
(208) 286-1529
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 9597 ID Primary

Addresses

Primary practice location

3501 W Elder St
Boise, ID 83705-4986

Mailing address

3679 N Willowbar Way
Garden City, ID 83714-6566
Phone (480) 251-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240421000022 ID Practitioner - Mental Health Counselor 8820437007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noble IntentGroup PAC ID 2668837675, 6 clinicians

Practice addresses (Care Compare)

3501 W Elder St
Suite 300
Boise, ID 83705-4986
Phone (208) 286-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9597IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Intent LLC CurrentSince Apr 3, 2024 Accepting new patients
Noble Intent CurrentSince Mar 11, 2025 Accepting new patients

Locations

3501 W Elder St
Boise, ID 83705
Phone (208) 286-1529

3501 W Elder St
Ste 300
Boise, ID 83705
Phone (208) 286-1529

Organizations & group practices 2

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1558045419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 N WILLOWBAR WAY",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837146566",
            "telephone_number": "480-251-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KRYSTIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.