Individual provider Active NPI

Matthew Schubert, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1730805649
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-9697 Issued in ID
Practice address
10448 W Garverdale CT
Boise, ID 83704-5409
Phone
(208) 615-9828
NPI assigned
Oct 13, 2022
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 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 APCC12479 CA
Mental Health Counselor 101YM0800X LPC-9697 ID Primary

Addresses

Primary practice location

10448 W Garverdale CT
Boise, ID 83704-5409

Mailing address

10448 W Garverdale CT
Boise, ID 83704-5409
Phone (208) 615-9828

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
APCC12479CAMDMental Health Counselor
LPC-9697IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gem State Therapy CurrentSince Oct 15, 2023 Accepting new patients
Albuquerque Therapy Center Mental Health Current Accepting new patients

Locations

7245 W Potomac Dr
Boise, ID 83704
Phone (208) 509-3136

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1730805649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 W GARVERDALE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045409",
            "telephone_number": "208-615-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 W GARVERDALE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045409",
            "telephone_number": "208-615-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC12479",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9697",
            "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 Dec 17, 2025; 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.