Active NPI
Meghan Nicole Dahlin, MA LCPC LPC LAC LMHC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1679839757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6015
- 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, 2024
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14000 | FL | MD | Mental Health Counselor |
| 6588 | ID | MD | Mental Health Counselor |
| 6401223910 | MI | MD | Mental Health Counselor |
| 10416579-6004 | UT | MD | Mental Health Counselor |
| 6015 | CO | MD | Medical 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.