Individual provider Active NPI

Dalana Sue Thompson

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1942735949
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC6953 Issued in ID
Practice address
600 E Riverpark LN Ste 125
Boise, ID 83706-6661
Phone
(208) 254-5450
NPI assigned
Apr 27, 2017
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC6953 ID Primary

Addresses

Primary practice location

600 E Riverpark LN Ste 125
Boise, ID 83706-6661

Mailing address

600 E Riverpark LN Ste 125
Boise, ID 83706-6661
Phone (208) 794-8758

Other identifiers 1

IdentifierTypeStateIssuer
NPI-1922533520MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107002313 ID Practitioner - Mental Health Counselor 1850825258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Mind Counseling PLLCGroup PAC ID 4688064991, 5 clinicians

Practice addresses (Care Compare)

1005 E Park Blvd
Boise, ID 83712-7722
Phone (208) 918-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC6953IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Mind Counseling PLLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

1005 E Park Blvd
Boise, ID 83712
Phone (208) 515-7588

1015 W Hays St
Ste 211
Boise, ID 83702
Phone (208) 794-8813

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1942735949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN STE 125",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066661",
            "telephone_number": "208-794-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN STE 125",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066661",
            "telephone_number": "208-254-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DALANA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC6953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPI-1922533520",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.