Active NPI
Luis Javier Cortez II, LPC
- Professional Counselor
- Meridian, ID
National Provider Identifier
1841671971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-5905
- Practice address
- 750 W Ustick Rd Ste 120
Meridian, ID 83646-6133 - Phone
- (208) 697-7116
- NPI assigned
- Jun 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-5905 | ID | Primary |
Addresses
Primary practice location
750 W Ustick Rd Ste 120
Meridian, ID 83646-6133
Mailing address
4465 N Weston Ave
Meridian, ID 83646-3945
Phone (208) 697-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926000712 | ID | Practitioner - Mental Health Counselor | 6709381056 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Behavioral Health Services
Practice addresses (Care Compare)
1276 W River St
Suite 100
Boise, ID 83702-7083
Phone (208) 338-4699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services | Current | Accepting new patients | |
| Access Behavioral Health Services, Inc | Current | Accepting new patients |
Locations
1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699
3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833
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.
-
- Primary Care Clinic/Center
- Boise, ID
- NPI 1932506508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1841671971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 N WESTON AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463945",
"telephone_number": "208-697-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W USTICK RD STE 120",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466133",
"telephone_number": "208-697-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "LUIS",
"middle_name": "JAVIER",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-5905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.