Individual provider Active NPI

Leah Marie Suddarth, LCPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1760686372
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-7441 Issued in ID
Practice address
2589 S Five Mile Rd
Boise, ID 83709-2325
Phone
(208) 908-6320
Fax
(208) 908-6404
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 LCPC-7441 ID Primary

Addresses

Primary practice location

2589 S Five Mile Rd
Boise, ID 83709-2325

Mailing address

2589 S Five Mile Rd
Boise, ID 83709-2325
Phone (208) 908-6320

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
I20240216002717 ID Practitioner - Mental Health Counselor 1153765284 Practice locations: Boise, 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)

9474 W Fairview Ave
Boise, ID 83704-8101
Phone (208) 859-4294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-7441IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2589 S Five Mile Rd
Boise, ID 83709
Phone (208) 376-4929

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1760686372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092325",
            "telephone_number": "208-908-6320",
            "fax_number": "208-908-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092325",
            "telephone_number": "208-908-6320",
            "fax_number": "208-908-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDARTH",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.