Patrick Kirk, BA, MS, CPSS, CFSP

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

6003 W Overland Rd Ste 201
Boise, ID 83709-3076

Phone

(208) 982-7701

Fax

(208) 694-6301

NPI assigned

Jan 30, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Science

Practice roles

Locations

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.

• Case Managers of Idaho, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1366007775

  Peer Specialist

  NPD Authorized official

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1770941197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093077",
            "telephone_number": "208-801-6806",
            "fax_number": "208-694-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093076",
            "telephone_number": "208-982-7701",
            "fax_number": "208-694-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "BA, MS, CPSS, CFSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-30",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Kintzing, PSY.D.
• Abby Leigh Kippen, DC
• Kimereng Kipchumba Kipsuge, NP
• Mark L. Kircher, L.C.P.C.
• Jennifer Anne Kirk
• Cody Kay Kirkham, PA-C
• John Charles Kirkham, MD
• Cade Kirkhart, MCOUN, LPC, NCC
• Barett Kirkman
• Mackenzie Kirkpatrick, DPT

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.