Individual provider Active NPI

Anile Nina, LCPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1679909329
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-6859 Issued in ID
Practice address
5484 N Gary Lane
Boise, ID 83714
Phone
(208) 371-6702
Fax
(208) 501-8548
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-5185 ID
Professional Counselor 101YP2500X LCPC-6859 ID Primary

Addresses

Primary practice location

5484 N Gary Lane
Boise, ID 83714

Mailing address

5484 N Gary Lane
Boise, ID 83714
Phone (208) 371-6702

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

LicenseStateTypeSpecialty
LCPC-6859IDMDProfessional Counselor
LPC-5185IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiration Counsleing LLC Professional CurrentSince Aug 6, 2023 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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1679909329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5484 N GARY LANE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "208-371-6702",
            "fax_number": "208-501-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5484 N GARY LANE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "208-371-6702",
            "fax_number": "208-501-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINA",
        "first_name": "ANILE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5185",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-6859",
            "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 May 11, 2020; 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.