Active NPI
Traci Johnston, MS, LCPC, NCC
- Counselor
- Boise, ID
National Provider Identifier
1942722707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC-7638
- Practice address
- 500 W Idaho St Ste 201
Boise, ID 83702-5755 - Phone
- (208) 918-1593
- NPI assigned
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-7638 | ID | |
| Professional Counselor | 101YP2500X | LCPC-7638 | ID | |
| Counselor | 101Y00000X | LCPC-7638 | ID | Primary |
Addresses
Primary practice location
500 W Idaho St Ste 201
Boise, ID 83702-5755
Mailing address
500 W Idaho St Ste 201
Boise, ID 83702-5755
Phone (208) 918-1593
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-7638 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942722707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W IDAHO ST STE 201",
"city": "BOISE",
"state": "ID",
"postal_code": "837025755",
"telephone_number": "208-918-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W IDAHO ST STE 201",
"city": "BOISE",
"state": "ID",
"postal_code": "837025755",
"telephone_number": "208-918-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "TRACI",
"name_prefix": "Ms.",
"credential": "MS, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2022-07-21",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-7638",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-7638",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC-7638",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.