Individual provider Active NPI

Sarah Janine Kaldor, LCPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1790947661
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-6758 Issued in ID
Practice address
2200 S Orchard St Ste 201
Boise, ID 83705-3713
Phone
(208) 643-5200
Fax
(208) 906-0812
NPI assigned
Jul 1, 2008
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 LCPC-6758 ID Primary

Addresses

Primary practice location

2200 S Orchard St Ste 201
Boise, ID 83705-3713

Mailing address

PO Box 190326
Boise, ID 83719-0326
Phone (208) 643-5200

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
LCPC-6758IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1790947661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190326",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190326",
            "telephone_number": "208-643-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S ORCHARD ST STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053713",
            "telephone_number": "208-643-5200",
            "fax_number": "208-906-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDOR",
        "first_name": "SARAH",
        "middle_name": "JANINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6758",
            "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 Feb 22, 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.