Active NPI
Maribel R Padron, MA, LPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1780014308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-4119
- Practice address
- 6855 W Fairview Ave
Boise, ID 83704-8046 - Phone
- (208) 323-8888
- Fax
- (208) 323-8889
- NPI assigned
- Nov 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-4119 | ID | Primary |
Addresses
Primary practice location
6855 W Fairview Ave
Boise, ID 83704-8046
Mailing address
PO Box 6636
Boise, ID 83707-0636
Phone (208) 284-8527
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4119 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1780014308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6636",
"city": "BOISE",
"state": "ID",
"postal_code": "837070636",
"telephone_number": "208-284-8527",
"fax_number": "208-323-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048046",
"telephone_number": "208-323-8888",
"fax_number": "208-323-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "MARIBEL",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-4119",
"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 Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.