Jonathan Warren
Individual provider Active NPI Mental Health Counselor · Boise, ID
NPI 1831009984 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1831009984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4781228 (ID)
- Practice address
- 12 N Latah St
Boise, ID 83706-2622 - Phone
- (865) 696-5746
- NPI assigned
- Sep 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4781228 | ID | Yes |
Addresses
Primary practice location
12 N Latah St
Boise, ID 83706-2622
Mailing address
12 N Latah St
Boise, ID 83706-2622
Phone (865) 696-5746
Other providers in Boise, ID
- Christopher Warne
- Michaela Warner
- Hamilton Warren-Sutton
- Amber B Warren
- Hilary Ann Warren
- Mark Brandon Warren
- Warrick Psychiatry LLC
- Robert Warrick
- Warrior Service Company LLC
- Nicholas Warzyn
All providers in Boise, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.