Active NPI
Arrowrock Counseling and Consulting
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1912285891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC4698
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bevin Modrak, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Boise, ID
- NPI 1326316514
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.