Individual provider Active NPI

Dorinda Walden, MA, LCPC

  • Professional Counselor
  • Meridian, ID
National Provider Identifier
1891980538
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-9682 Issued in ID
Practice address
1820 S Eagle Rd
Meridian, ID 83642-2447
Phone
(208) 203-3269
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Specialist 174400000X 6210090 AZ
Professional Counselor 101YP2500X LCPC-9682 ID Primary

Addresses

Primary practice location

1820 S Eagle Rd
Meridian, ID 83642-2447

Mailing address

1820 S Eagle Rd
Meridian, ID 83642-2447
Phone (208) 203-3269

Other practice location 1

6332 E Andover Ln
Prescott Valley, AZ 86314-9225
Phone (970) 903-7767

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919001824 ID Practitioner - Mental Health Counselor 3476057654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 S Eagle Rd
Meridian, ID 83642-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6210090AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Azure Stone Mental Health & Wellness LLC CurrentSince Aug 20, 2025 Accepting new patients
Demren Lahhf, LLC Past Accepting new patients

Locations

2000 S Eagle Rd
Meridian, ID 83642
Phone (208) 539-6557

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1891980538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422447",
            "telephone_number": "208-203-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422447",
            "telephone_number": "208-203-3269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6332 E Andover Ln",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863149225",
            "country_code": "US",
            "telephone_number": "970-903-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "DORINDA",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "6210090",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-9682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.