Individual provider Active NPI

Angelia Helen Thorne, LPC

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1639711302
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-6914 Issued in ID
Practice address
40 W Franklin Rd Ste I
Meridian, ID 83642-2992
Phone
(208) 600-9207
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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-6914 ID Primary

Addresses

Primary practice location

40 W Franklin Rd Ste I
Meridian, ID 83642-2992

Mailing address

40 W Franklin Rd Ste I
Meridian, ID 83642-2992
Phone (208) 600-9207

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240417002371 ID Practitioner - Mental Health Counselor 0749629285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Behavioral Health ServicesGroup PAC ID 5991860413, 32 clinicians

Practice addresses (Care Compare)

1276 W River St
Suite 100
Boise, ID 83702-7083
Phone (208) 338-4699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-6914IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Services, Inc CurrentSince Mar 27, 2024 Accepting new patients
The Divine Lengths LLC Mental Health Current Accepting new patients
Access Behavioral Health Services CurrentSince Mar 27, 2024 Accepting new patients

Locations

1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699

3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833

Organizations & group practices 3

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1639711302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W FRANKLIN RD STE I",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422992",
            "telephone_number": "208-600-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W FRANKLIN RD STE I",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422992",
            "telephone_number": "208-600-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "ANGELIA",
        "middle_name": "HELEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 N Cole Rd Ste 225",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837045966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.