Individual provider Active NPI

Camryn Kaarlsen

  • Counselor
  • Boise, ID
National Provider Identifier
1609756675
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-9710 Issued in ID
Practice address
410 S Orchard St
Boise, ID 83705-1260
Phone
(208) 214-7408
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-9710 ID Primary

Addresses

Primary practice location

410 S Orchard St
Boise, ID 83705-1260

Mailing address

9448 W Granger CT
Boise, ID 83704-5596
Phone (208) 949-8672

Other practice location 1

9448 W Granger Ct
Boise, ID 83704-5596
Phone (208) 949-8672

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-9710IDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1609756675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 W GRANGER CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045596",
            "telephone_number": "208-949-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051260",
            "telephone_number": "208-214-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9448 W Granger Ct",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837045596",
            "country_code": "US",
            "telephone_number": "208-949-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAARLSEN",
        "first_name": "CAMRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-9710",
            "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 Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.