Individual provider Active NPI

Rachel Briggs Gutierrez, LCPC-6300

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1922433085
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-6300 Issued in ID
Practice address
1010 W Hays St
Boise, ID 83702-5435
Phone
(208) 297-8464
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5267 ID
Mental Health Counselor 101YM0800X LCPC-6300 ID Primary

Addresses

Primary practice location

1010 W Hays St
Boise, ID 83702-5435

Mailing address

2799 S Knapp Ave
Meridian, ID 83642-7925
Phone (208) 297-8464

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

LicenseStateTypeSpecialty
5267IDMDMental Health Counselor
LCPC-6300IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1922433085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 S KNAPP AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427925",
            "telephone_number": "208-297-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025435",
            "telephone_number": "208-297-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS GUTIERREZ",
        "first_name": "RACHEL",
        "credential": "LCPC-6300",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "5267",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6300",
            "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 Feb 26, 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.

Verify at the official NPI Registry.