Bobbie Ann Birdsall, PH.D., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPCS-264 Issued in ID

Practice address

2211 S Scyene Way
Boise, ID 83712-8532

Phone

(208) 859-9663

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1780264242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S SCYENE WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128532",
            "telephone_number": "208-859-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S SCYENE WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128532",
            "telephone_number": "208-859-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "BOBBIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPCS-264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO",
            "identifier": "LCPC-264",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BetterHelp.com",
            "affiliation": "N",
            "endpointDescription": "on-line counseling platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Notes",
            "address_1": "2211 S Scyene Way",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837128532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christie Bird
• Jonathan Bird, P.T.
• Matthew Bird, DO
• Scott Gregory Bird, DPM
• Birds and the Bees Midwifery
• Carol Jean Birdzell, LPC
• Susan Kathleen Birnbaum, MPT
• Nicole Bischel, PT, DPT
• Joann Kay Bischoff, MD
• Elizabeth Lamar Bisgard, RD

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.