Individual provider Active NPI

Megan Smith-Krahn

  • Mental Health Counselor
  • Caldwell, ID
National Provider Identifier
1841844941
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-7325 Issued in ID
Practice address
3717 Bobwhite St
Caldwell, ID 83605-4885
Phone
(208) 631-0173
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-7325 ID Primary

Addresses

Primary practice location

3717 Bobwhite St
Caldwell, ID 83605-4885

Mailing address

3717 Bobwhite St
Caldwell, ID 83605-4885
Phone (208) 631-0173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-7325IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denali Ridge Couseling Current Accepting new patients

Locations

380 W State St
Eagle, ID 83616
Phone (208) 629-7730

Organizations & group practices 1

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1841844941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 BOBWHITE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054885",
            "telephone_number": "208-631-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 BOBWHITE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054885",
            "telephone_number": "208-631-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KRAHN",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.