Individual provider Active NPI

Gail L Zickefoose, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1558798710
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-5337 Issued in ID
Practice address
3775 N Eagle Rd
Boise, ID 83713-5005
Phone
(208) 570-4350
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5337 ID Primary

Addresses

Primary practice location

3775 N Eagle Rd
Boise, ID 83713-5005

Mailing address

16548 Snowgoose St
Nampa, ID 83687-8293
Phone (208) 570-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409003010 ID Practitioner - Mental Health Counselor 5092153197 Practice locations: Meridian, ID
I20260609001952 OR Practitioner - Mental Health Counselor 5092153197 Practice locations: Salem, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3074 Oakcrest Dr NW
Salem, OR 97304-1217
Phone (208) 570-4350

3773 Lincoln Dr
Ontario, OR 97914-8713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-5337IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Counseling LLC Professional CurrentSince Dec 17, 2023 Accepting new patients

Locations

849 E Fairview Ave
Meridian, ID 83642
Phone (208) 570-4350

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1558798710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16548 SNOWGOOSE ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878293",
            "telephone_number": "208-570-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135005",
            "telephone_number": "208-570-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKEFOOSE",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.