Active NPI
Kristen Shearer LLC
Doing business as Mountain Mind Counseling
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1669249041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KRISTEN SHEARER LLC
- Doing business as
- Mountain Mind Counseling
- Practice address
- 410 S Orchard St Ste 160
Boise, ID 83705-1295 - Phone
- (208) 352-6018
- NPI assigned
- Dec 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Shearer, LPC
- Title
- Owner/Manager
- Phone
- (208) 830-9027
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
410 S Orchard St Ste 160
Boise, ID 83705-1295
Mailing address
1204 N 13TH St
Boise, ID 83702-4115
Phone (208) 830-9027
Other names 1
- Mountain Mind Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Boise, ID
- NPI 1285308502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1669249041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N 13TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837024115",
"telephone_number": "208-830-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S ORCHARD ST STE 160",
"city": "BOISE",
"state": "ID",
"postal_code": "837051295",
"telephone_number": "208-352-6018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTEN SHEARER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "SHEARER",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "208-830-9027",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Mind Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 27, 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.