Individual provider Active NPI

Andrea Thompson, LCPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1821395336
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-5740 Issued in ID
Practice address
4850 N Rosepoint Way Ste 103
Boise, ID 83713-5262
Phone
(208) 391-2821
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-4625 ID
Mental Health Counselor 101YM0800X LCPC-5740 ID Primary

Addresses

Primary practice location

4850 N Rosepoint Way Ste 103
Boise, ID 83713-5262

Mailing address

2873 N Fairglen Ave
Meridian, ID 83646-6035

Other practice location 1

1799 N Lakes Pl
Meridian, ID 83646-1833
Phone (208) 888-5905

Other names 1

  • Andrea Blatz Former name

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-5740IDMDMental Health Counselor
LPC-4625IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Services Inc Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Family Counseling Services PastSince Jun 1, 2023 Accepting new patients

Locations

1799 N Lakes Pl
Meridian, ID 83646
Phone (208) 888-5905

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1821395336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2873 N FAIRGLEN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 N ROSEPOINT WAY STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135262",
            "telephone_number": "208-391-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1799 N Lakes Pl",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461833",
            "country_code": "US",
            "telephone_number": "208-888-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDREA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4625",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BLATZ",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 27, 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.