Active NPI
Terrie J Towle, LCPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1689656308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC173
- Practice address
- 3306 N Acre LN
Boise, ID 83704-4503 - Phone
- (208) 344-7800
- Fax
- (208) 373-0816
- NPI assigned
- Nov 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC173 | ID | Primary |
Addresses
Primary practice location
3306 N Acre LN
Boise, ID 83704-4503
Mailing address
1755 N Westgate Dr
Ste 260
Boise, ID 83704-7174
Phone (208) 373-0790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010017059 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| Q7652 | Other | ID | BLUE CROSS OF IDAHO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC173 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1689656308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N WESTGATE DR",
"address_2": "STE 260",
"city": "BOISE",
"state": "ID",
"postal_code": "837047174",
"telephone_number": "208-373-0790",
"fax_number": "208-373-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 N ACRE LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837044503",
"telephone_number": "208-344-7800",
"fax_number": "208-373-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWLE",
"first_name": "TERRIE",
"middle_name": "J",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF IDAHO",
"identifier": "000010017059",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "Q7652",
"state": "ID"
}
],
"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 Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.