Individual provider Active NPI

Keely Elise Adams, LCPC

  • Professional Counselor
  • Meridian, ID
National Provider Identifier
1740570704
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6157 Issued in ID
Practice address
429 SW 5TH Ave Ste 110
Meridian, ID 83642-5037
Phone
(208) 800-9599
Fax
(208) 277-1817
NPI assigned
Apr 12, 2011
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6157 ID Primary

Addresses

Primary practice location

429 SW 5TH Ave Ste 110
Meridian, ID 83642-5037

Mailing address

4665 S Alma Ave
Meridian, ID 83642-9168
Phone (208) 800-9599

Other identifiers 1

IdentifierTypeStateIssuer
1740570704MedicaidID

Other names 1

  • Keely Elise Coverdell Former name

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
I20250702003949 ID Practitioner - Mental Health Counselor 3870017437 Practice locations: Meridian, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

429 SW 5TH Ave
Suite 110
Meridian, ID 83642-5037
Phone (208) 800-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6157IDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedomsong Counseling, LLC Mental Health CurrentSince May 10, 2025 Accepting new patients
Starr Family Behavioral Health Past Accepting new patients

Locations

429 SW 5th Ave
Ste 110
Meridian, ID 83642
Phone (208) 409-1354

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1740570704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 S ALMA AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429168",
            "telephone_number": "208-800-9599",
            "fax_number": "208-277-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SW 5TH AVE STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425037",
            "telephone_number": "208-800-9599",
            "fax_number": "208-277-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KEELY",
        "middle_name": "ELISE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "6157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740570704",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEELY",
            "last_name": "COVERDELL",
            "middle_name": "ELISE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.