Organization Active NPI

Riverside Counseling LLC

  • Counselor
  • Boise, ID
National Provider Identifier
1902692809
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RIVERSIDE COUNSELING LLC
Practice address
1491 S Tyrell LN Ste 102
Boise, ID 83706-4032
Phone
(208) 410-8564
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Delaney Breanne Obaldia, M.A., LPCNPI 1437933090
Title
Licensed Professional Counselor
Phone
(208) 410-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1491 S Tyrell LN Ste 102
Boise, ID 83706-4032

Mailing address

6853 N Roe Ave
Boise, ID 83714-2191
Phone (951) 398-9720

National Provider Directory

National Provider Directory

Locations

1491 S Tyrell Ln
Ste 102
Boise, ID 83706
Phone (208) 410-8564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1902692809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 N ROE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142191",
            "telephone_number": "951-398-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S TYRELL LN STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064032",
            "telephone_number": "208-410-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "OBALDIA",
        "authorized_official_first_name": "DELANEY",
        "authorized_official_middle_name": "BREANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "208-410-8564",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.