Ingrid Starr Blinn, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4580 Issued in ID

Practice address

307 Saint Johns Way
Suite 3
Lewiston, ID 83501-2435

Phone

(208) 750-1802

Fax

(208) 750-1803

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 27, 2024 through Nov 27, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverplace Counseling & Wellness

  • Counselor
  • Lewiston, ID
  • NPI 1215306949
  Authorized official Same address or phone
• Riverplace Counseling & Wellness

  • Mental Health Counselor
  • Lewiston, ID
  • NPI 1679085823
  Authorized official Same address or phone

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1912217316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SAINT JOHNS WAY",
            "address_2": "SUITE 3",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012435",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SAINT JOHNS WAY",
            "address_2": "SUITE 3",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012435",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "INGRID",
        "middle_name": "STARR",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60156252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Bingman
• Traci L Birdsell, PHD
• Christina R Bjornstad, M.D.
• Marshall R Black, CPO
• Heather Blazier, RD, LD
• Michael Stuart Blue, DO
• Jerilyn R Bodey, FNP-C
• Bohnenkamp Behavioral Health LLC (Bohnenkamp Behavioral Health)
• Rebecca Ann Bohnenkamp, LCSW
• Herbert Bohner, RPH

• Professional Counselor in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.