Organization Active NPI

Arrowrock Counseling and Consulting

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1912285891
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC4698 Issued in ID
Legal business name
ARROWROCK COUNSELING AND CONSULTING
Practice address
204 S Cole Rd
Boise, ID 83709-0934
Phone
(208) 319-9786
Fax
(208) 319-7773
NPI assigned
Jul 26, 2011
Last updated
Apr 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Mr. Bevin Modrak, LCPCNPI 1326316514
Title
Owner/Member
Phone
(208) 319-9786

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Counselor 101Y00000X LCPC4698 ID
Mental Health Counselor 101YM0800X LCPC4698 ID Primary

Addresses

Primary practice location

204 S Cole Rd
Boise, ID 83709-0934

Mailing address

6568 S Federal Way
#124
Boise, ID 83716-9277
Phone (208) 319-9786

National Provider Directory

National Provider Directory

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": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1912285891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6568 S FEDERAL WAY",
            "address_2": "#124",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169277",
            "telephone_number": "208-319-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090934",
            "telephone_number": "208-319-9786",
            "fax_number": "208-319-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWROCK COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "MODRAK",
        "authorized_official_first_name": "BEVIN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "208-319-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC4698",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC4698",
            "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 16, 2023; 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.