Kinsey Elora Nelson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-5327 Issued in ID

Practice address

8675 W Ardene St
Boise, ID 83709-2601

Phone

(208) 780-3900

Fax

(208) 321-5069

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifepath Services LLCGroup PAC ID 9638487515, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lifepath Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1477920270
  Medicare reassignment Care Compare group NPD
• JX2 LLC

  • Group Psychotherapy Psychologist
  • Boise, ID
  • NPI 1588967020
  NPD (past)
• Trivium Life Services Mountain West, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1194962829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1598045585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16820",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837156820",
            "telephone_number": "208-323-9130",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 W ARDENE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092601",
            "telephone_number": "208-780-3900",
            "fax_number": "208-321-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KINSEY",
        "middle_name": "ELORA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Denise Nelson, PT
• Eric Nelson, RN
• Eric Webb Nelson, MD, DDS
• Jayne Nelson, PA-C
• Justin Michael Nelson
• Kristi Nelson, MA
• Lisa M Nelson, M.D.
• Matthew Alex Nelson, LMT, CMA, MFA
• Matthew Jacob Nelson, MD
• Matthew Ryan Nelson, MD

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.