Active NPI
Desiree Ann Blythe, LPC, MS, NCC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1588318976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-8624
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-8624 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services, Inc | Past | 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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Boise, ID
- NPI 1962018564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.