Active NPI
Michael John Eisenbeiss Sr., PSYCHOLOGIST COUNSEL
- Marriage & Family Therapist
- Boise, ID
National Provider Identifier
1740343235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT19
- Practice address
- 315 N Allembaugh
Boise, ID 83704 - Phone
- (208) 376-3546
- Fax
- (208) 345-4425
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC286 | ID | |
| Clinical Psychologist | 103TC0700X | PSY57 | ID | |
| Marriage & Family Therapist | 106H00000X | LMFT19 | ID | Primary |
Addresses
Primary practice location
315 N Allembaugh
Boise, ID 83704
Mailing address
315 N Allembaugh
Boise, ID 83704
Phone (208) 376-3546
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC286 | ID | MD | Mental Health Counselor |
| PSY57 | ID | MD | Clinical Psychologist |
| LMFT19 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Mind Counseling PLLC | Current | Accepting new patients |
Locations
315 N Allumbaugh St
Boise, ID 83704
Phone (208) 323-2847
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Boise, ID
- NPI 1659944353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1740343235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N ALLEMBAUGH",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-376-3546",
"fax_number": "208-345-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N ALLEMBAUGH",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-376-3546",
"fax_number": "208-345-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBEISS",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PSYCHOLOGIST COUNSEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC286",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY57",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT19",
"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 Sep 11, 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.