Individual provider Active NPI

Desiree Ann Blythe, LPC, MS, NCC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1588318976
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-8624 Issued in ID
Practice address
1276 W River St
Boise, ID 83702-7066
Phone
(208) 338-4699
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 LPC-8624 ID Primary

Addresses

Primary practice location

1276 W River St
Boise, ID 83702-7066

Mailing address

12137 W Overland Rd Apt 103
Boise, ID 83709-2293
Phone (805) 760-7062

Other practice location 1

5985 W State St
Boise, ID 83703-3039
Phone (208) 853-0071

Other practice location 2

303 N Allumbaugh St
Boise, ID 83704-9208
Phone (800) 321-5984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-8624IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Services, Inc PastSince Sep 20, 2020 Accepting new patients

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": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1588318976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12137 W OVERLAND RD APT 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092293",
            "telephone_number": "805-760-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027066",
            "telephone_number": "208-338-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5985 W State St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837033039",
            "country_code": "US",
            "telephone_number": "208-853-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N Allumbaugh St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049208",
            "country_code": "US",
            "telephone_number": "800-321-5984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "DESIREE",
        "middle_name": "ANN",
        "credential": "LPC, MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.