Heidi Senethavilay, PHD, LPC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LPC-7920 Issued in ID

Practice address

1883 Wildwood St Ste G
Boise, ID 83713-5146

Phone

(208) 484-0920

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Courage to Talk Therapeutic Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1265201073
  NPD Authorized official
• Courage to Talk Therapeutic Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1558212761
  NPD Authorized official

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1669825709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N WILD GOOSE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465988",
            "telephone_number": "702-467-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 WILDWOOD ST STE G",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135146",
            "telephone_number": "208-484-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENETHAVILAY",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "SE-202979",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "LPC-7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lylena Marie Self, LCSW
• Donna J. Selle, L.AC.
• Hailey Sellek
• Jenna Hoffman Sellers, AU.D.
• Lisa Semmler, LMFT
• Cheryl Anne Senieur
• Senior Care and Concierge
• Seniorlife Therapy Clinic, Inc
• Katiann N Senn, DPT
• Sonja Septon, DPT

• Counseling Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Counseling Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.