Madeline Rousseau, LCPC, LMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-9511 Issued in ID

Practice address

913 S Latah St Ste a
Boise, ID 83705-2265

Phone

(208) 402-8713

Fax

(210) 255-2135

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Noble Intent LLC

  dba Noble Intent Continuum of Care Programs

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174155741
  Medicare reassignment NPD
• Noble Intent

  • Adolescent and Children Mental Health Clinic/Center
  • Boise, ID
  • NPI 1992502827
  NPD

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1952813412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S LATAH ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052265",
            "telephone_number": "208-402-8713",
            "fax_number": "208-460-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S LATAH ST STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052265",
            "telephone_number": "208-402-8713",
            "fax_number": "210-255-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "MADELINE",
        "credential": "LCPC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8158",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-9511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF COUNSELORS",
            "identifier": "9511",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF COUNSELORS",
            "identifier": "LPC-8158",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Rott, DPT
• Victoria Rountree
• Kaitlin Ann Rourk, PHARMD
• Seth Emmanuel Rourk, PHARMD
• Lacey Rouser, LCSW
• Milena Stoyanova Roussev, PH.D.
• Suzette Amy Rovelsky, PHARMD
• Jenna Lynn Rovig, NP-C
• Kimberly Rovin, PHD
• Brian Rowan

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.