Active NPI
Veronica Marshall, LPC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1669094546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-7664
- Practice address
- 575 E Parkcenter Blvd Ste 140
Boise, ID 83706-6674 - Phone
- (208) 501-3404
- Fax
- (855) 944-3401
- NPI assigned
- May 13, 2020
- 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-7664 | ID | Primary |
Addresses
Primary practice location
575 E Parkcenter Blvd Ste 140
Boise, ID 83706-6674
Mailing address
5261 S Conestoga PL
Boise, ID 83709-5931
Phone (208) 989-4975
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | veronica@renewedmindcounseling.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-7664 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuna Counseling Center | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685750400000",
"number": "1669094546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 S CONESTOGA PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837095931",
"telephone_number": "208-989-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E PARKCENTER BLVD STE 140",
"city": "BOISE",
"state": "ID",
"postal_code": "837066674",
"telephone_number": "208-501-3404",
"fax_number": "855-944-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "VERONICA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2023-06-03",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-7664",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "veronica@renewedmindcounseling.com",
"affiliation": "N",
"address_1": "575 E Parkcenter Blvd Ste 140",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837066674",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.