Blake Durst, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

8216 Issued in ID

Practice address

9488 W Fairview Ave
Boise, ID 83704-8101

Phone

(208) 322-2928

NPI assigned

Feb 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pride Mental Health

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1588199277
  NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1902551187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 W YORKSHIRE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837042281",
            "telephone_number": "208-954-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9488 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048101",
            "telephone_number": "208-322-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9777 W Yorkshire Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837042281",
            "country_code": "US",
            "telephone_number": "208-954-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURST",
        "first_name": "BLAKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "8216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Durham, D.O.
• Melissa Carol Durham, M.S., L.P.C.
• Taylor Nicole Durkee
• Carl L Durning, MD
• Britney Durrell, LCSW
• Zachary Craig Durtschi, PHARM.D.
• Olivier Civika Dusabe Sr.
• Umurerwa Dusabe
• Patricia Billingsley Dushku, MD
• Dustin Mays, LMSW, PLLC

• Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.