Individual provider Active NPI

Mary Ann Herzing, LCSW

  • Marriage & Family Therapist
  • Boise, ID
National Provider Identifier
1770616971
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT2992 Issued in ID
Practice address
600 E Riverpark LN
Ste 200
Boise, ID 83706-6551
Phone
(208) 344-5457
Fax
(208) 343-5165
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 LCPC60 ID
Marriage & Family Therapist 106H00000X LMFT2992 ID Primary

Addresses

Primary practice location

600 E Riverpark LN
Ste 200
Boise, ID 83706-6551

Mailing address

600 E Riverpark LN
Ste 200
Boise, ID 83706-6551
Phone (208) 344-5457

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
LCPC60IDMDMental Health Counselor
LMFT2992IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Associates LLP Marriage & Family Therapist PastSince Feb 6, 2016 Accepting new patients

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770616971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066551",
            "telephone_number": "208-344-5457",
            "fax_number": "208-343-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066551",
            "telephone_number": "208-344-5457",
            "fax_number": "208-343-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZING",
        "first_name": "MARY ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC60",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT2992",
            "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.

Verify at the official NPI Registry.