Individual provider Active NPI

Jamie Lynn Priest, LPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1962277145
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-9659 Issued in ID
Practice address
7245 W Potomac Dr
Boise, ID 83704-9150
Phone
(208) 509-3136
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 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 LPC-9659 ID Primary

Addresses

Primary practice location

7245 W Potomac Dr
Boise, ID 83704-9150

Mailing address

189 S Johns Bay Ave
Kuna, ID 83634-5466
Phone (208) 509-3136

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
I20260106002264 ID Order and Referring Only - Mental Health Counselor 4981190378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-9659IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1962277145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 S JOHNS BAY AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345466",
            "telephone_number": "208-509-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049150",
            "telephone_number": "208-509-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEST",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.