Michele Anne Roeder, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-3375 Issued in ID

Practice address

9514 W Fairview Ave Ste 100
Boise, ID 83704-0614

Phone

(208) 936-5111

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michele Anne Stephens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1932407319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 W GEMSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461195",
            "telephone_number": "208-936-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 W FAIRVIEW AVE STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040614",
            "telephone_number": "208-936-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "MICHELE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "STEPHENS",
            "middle_name": "ANNE",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karly Rodriguez, DC
• Lisa Rodriguez, LCPC
• Shanell Rodriguez, L.AC.
• Rami Alexandria Roe, LMSW
• Tracy Lynn Roe, M.A., L.C.P.C., NCC
• Jacqueline Roegner, PT, DPT
• Olivia Nicole Roehling, DO
• Jayci Roek, MT-BC
• Erin Roelofs
• Nicole Marie Roessler, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.