Active NPI
Mark L. Kircher, L.C.P.C.
- Professional Counselor
- Boise, ID
National Provider Identifier
1710081765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC #9
- Practice address
- 3350 Americana Ter Ste 300
Boise, ID 83706-2548 - Phone
- (208) 343-1113
- Fax
- (208) 343-0040
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- 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 | LCPC #9 | ID | Primary |
Addresses
Primary practice location
3350 Americana Ter Ste 300
Boise, ID 83706-2548
Mailing address
3350 Americana Ter Ste 300
Boise, ID 83706-2548
Phone (208) 343-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LSW | Other | ID | LICENSED SOCIAL WORKER |
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 |
|---|---|---|---|
| LCPC #9 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710081765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 AMERICANA TER STE 300",
"city": "BOISE",
"state": "ID",
"postal_code": "837062548",
"telephone_number": "208-343-1113",
"fax_number": "208-343-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 AMERICANA TER STE 300",
"city": "BOISE",
"state": "ID",
"postal_code": "837062548",
"telephone_number": "208-343-1113",
"fax_number": "208-343-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHER",
"first_name": "MARK",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC #9",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "LSW",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.