Individual provider Active NPI

Hannah Elizabeth Dooms, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1780026369
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-5137 Issued in ID
Practice address
7229 W Franklin Rd
Boise, ID 83709-0909
Phone
(208) 378-9636
Fax
(208) 485-9826
NPI assigned
Jul 23, 2013
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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 LPC-5137 ID Primary

Addresses

Primary practice location

7229 W Franklin Rd
Boise, ID 83709-0909

Mailing address

7229 W Franklin Rd
Boise, ID 83709-0909
Phone (208) 378-9636

Other identifiers 2

IdentifierTypeStateIssuer
1780026369MedicaidID
1992035364MedicaidID

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
LPC-5137IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1780026369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090909",
            "telephone_number": "208-378-9636",
            "fax_number": "208-485-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090909",
            "telephone_number": "208-378-9636",
            "fax_number": "208-485-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOMS",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780026369",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992035364",
            "state": "ID"
        }
    ],
    "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 Jul 14, 2016; 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.