Individual provider Active NPI

Linda S Terry, LPC, LAMFT

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1710635875
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-8762 Issued in ID
Practice address
2500 W Kootenai St
Boise, ID 83705-2408
Phone
(208) 908-0500
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-8762 ID Primary

Addresses

Primary practice location

2500 W Kootenai St
Boise, ID 83705-2408

Mailing address

5693 E Hootowl Dr
Boise, ID 83716-7171
Phone (707) 318-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003665 UT Practitioner - Marriage and Family Therapist 2163905365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2450 Fondren Rd
Suite 312
Houston, TX 77063-2316

314 Furlong Trce
Versailles, KY 40383-2067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-8762IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CPF SJN Outpatient, LLC Mental Health CurrentSince Jan 14, 2026 Accepting new patients
Boise Counseling Center, LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

2500 W Kootenai St
Boise, ID 83705
Phone (208) 908-0500

4848 S Commerce Dr
Salt Lake City, UT 84107
Phone (385) 232-3484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1710635875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5693 E HOOTOWL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167171",
            "telephone_number": "707-318-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W KOOTENAI ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052408",
            "telephone_number": "208-908-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "LPC, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.