Individual provider Active NPI

Kirsten Roche, LMSW, BS, CPSS

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1629828173
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8171869 Issued in ID
Practice address
6305 W Overland Rd
Boise, ID 83709-3029
Phone
(208) 605-3663
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Clinical Social Worker 1041C0700X 8171869 ID Primary

Addresses

Primary practice location

6305 W Overland Rd
Boise, ID 83709-3029

Mailing address

6003 W Overland Rd Ste 105
Boise, ID 83709-3075
Phone (208) 417-8428

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
8171869IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand LLC CurrentSince Mar 31, 2024 Accepting new patients
Idaho Institute of Gender and Sex Therapy Clinical CurrentSince Jul 9, 2025 Accepting new patients

Locations

6305 W Overland Rd
Boise, ID 83709
Phone (208) 405-0847

6003 W Overland Rd
Ste 105
Boise, ID 83709
Phone (208) 345-8861

Organizations & group practices 2

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1629828173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093075",
            "telephone_number": "208-417-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093029",
            "telephone_number": "208-605-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "KIRSTEN",
        "credential": "LMSW, BS, CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8171869",
            "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 5, 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.