Active NPI
Jennifer M Handley
- Counselor
- Eagle, ID
National Provider Identifier
1902642408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-5075
- Practice address
- PO Box 2028
Eagle, ID 83616-9110 - Phone
- (208) 412-7959
- NPI assigned
- Jul 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-5075 | ID | Primary |
Addresses
Primary practice location
PO Box 2028
Eagle, ID 83616-9110
Mailing address
PO Box 2028
Eagle, ID 83616-9110
Phone (208) 412-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-5075 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1902642408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2028",
"city": "EAGLE",
"state": "ID",
"postal_code": "836169110",
"telephone_number": "208-412-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 2028",
"city": "EAGLE",
"state": "ID",
"postal_code": "836169110",
"telephone_number": "208-412-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLEY",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-5075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.