Active NPI
Andrea Thompson, LCPC
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1821395336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-5740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-5740 | ID | MD | Mental Health Counselor |
| LPC-4625 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Services Inc | Mental Health | Current | Accepting new patients |
| Family Counseling Services | Past | 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.
-
- Mental Health Counselor
- Meridian, ID
- NPI 1427352921
-
- Developmentally Disabled Services Day Training Agency
- Meridian, ID
- NPI 1245782358
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.