Mercedes F Resendiz, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6261670 Issued in ID

Practice address

3676 N Harbor LN Ste 100
Boise, ID 83703-6919

Phone

(208) 918-2743

NPI assigned

Aug 19, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Free Fallin LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1932844131
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1811729627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 N RYDE AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345098",
            "telephone_number": "208-230-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 N HARBOR LN STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036919",
            "telephone_number": "208-918-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDIZ",
        "first_name": "MERCEDES",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6261670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Tiara Renz
• Richard Nikolaus Renz
• Lynette Marie Repaci, PHARM D, RPH
• Res-Care Washington, Inc.
• Res-Care Washington, Inc.
• Jordan Alan Resnick
• Resoars LLC
• Resonance Counseling and Consulting, PLLC
• Restoration Counseling
• Restoration Wellness of Idaho LLC

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.