Active NPI
Merinda Anne Leach, MS, LMFT, LPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1831610187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2300 S Orchard St Ste B
Boise, ID 83705-6722 - Phone
- (208) 557-1328
- Fax
- (855) 249-0849
- NPI assigned
- Jun 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6496 | ID | |
| Marriage & Family Therapist | 106H00000X | 8231 | ID | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2300 S Orchard St Ste B
Boise, ID 83705-6722
Mailing address
11505 W Lanktree Gulch Rd
Star, ID 83669-5175
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6496 | ID | MD | Professional Counselor |
| 8231 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1831610187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 W LANKTREE GULCH RD",
"city": "STAR",
"state": "ID",
"postal_code": "836695175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S ORCHARD ST STE B",
"city": "BOISE",
"state": "ID",
"postal_code": "837056722",
"telephone_number": "208-557-1328",
"fax_number": "855-249-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "MERINDA",
"middle_name": "ANNE",
"credential": "MS, LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "6496",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "8231",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.