Individual provider Active NPI

Meghan Nicole Dahlin, MA LCPC LPC LAC LMHC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1679839757
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6015 Issued in CO
Practice address
6485 W Interchange LN Ste 110
Boise, ID 83709-2102
Phone
(208) 258-9107
Fax
(844) 662-3118
NPI assigned
Apr 3, 2012
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6015 CO
Mental Health Counselor 101YM0800X 10416579-6004 UT
Mental Health Counselor 101YM0800X 14000 FL
Mental Health Counselor 101YM0800X 6588 ID
Mental Health Counselor 101YM0800X 6401223910 MI
Professional Counselor 101YP2500X 6015 CO
Mental Health Counselor 101YM0800X 6015 CO Primary

Addresses

Primary practice location

6485 W Interchange LN Ste 110
Boise, ID 83709-2102

Mailing address

6485 W Interchange LN Ste 110
Boise, ID 83709-2102
Phone (208) 258-9107

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
14000FLMDMental Health Counselor
6588IDMDMental Health Counselor
6401223910MIMDMental Health Counselor
10416579-6004UTMDMental Health Counselor
6015COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1679839757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 W INTERCHANGE LN STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092102",
            "telephone_number": "208-258-9107",
            "fax_number": "844-662-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 W INTERCHANGE LN STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092102",
            "telephone_number": "208-258-9107",
            "fax_number": "844-662-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLIN",
        "first_name": "MEGHAN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MA LCPC LPC LAC LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "6015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10416579-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6588",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223910",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6015",
            "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 Feb 14, 2024; 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.