Individual provider Active NPI

Beth Marie Holt, LMFT

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1730416454
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
6927 Issued in ID
Practice address
4346 W Rose Hill St
Boise, ID 83705-5193
Phone
(208) 789-6209
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000767 NY
Marriage & Family Therapist 106H00000X 6927 ID Primary

Addresses

Primary practice location

4346 W Rose Hill St
Boise, ID 83705-5193

Mailing address

4750 N Five Mile Rd
Boise, ID 83713-2715
Phone (516) 220-9410

Other practice location 1

4750 N Five Mile Rd
Boise, ID 83713-2715
Phone (208) 996-0931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240311002943 ID Practitioner - Marriage and Family Therapist 9335591403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6927IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated Marriage & Family Therapist CurrentSince Jan 28, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 21, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

4750 N Five Mile Rd
Boise, ID 83713
Phone (208) 375-0500

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

Organizations & group practices 3

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1730416454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132715",
            "telephone_number": "516-220-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 W ROSE HILL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055193",
            "telephone_number": "208-789-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 N Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837132715",
            "country_code": "US",
            "telephone_number": "208-996-0931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000767",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "6927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.