Active NPI
Dorinda Walden, MA, LCPC
- Professional Counselor
- Meridian, ID
National Provider Identifier
1891980538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-9682
- 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
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 | |||
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6210090 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azure Stone Mental Health & Wellness LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Meridian, ID
- NPI 1922879394
-
- Mental Health Counselor
- Meridian, ID
- NPI 1609511856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.