Alexander Brent Duncan

Individual provider Active NPI Mental Health Counselor · Meridian, ID

NPI 1972124154 · NPPES record last updated Jul 17, 2025

Key facts

NPI
1972124154
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
8331015 (ID)
Practice address
3006 E Goldstone Dr
Meridian, ID 83642-1549
Phone
(208) 515-7661
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8331015IDMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8331015 ID Yes

Addresses

Primary practice location

3006 E Goldstone Dr
Meridian, ID 83642-1549

Mailing address

3006 E Goldstone Dr
Meridian, ID 83642-1549
Phone (208) 353-2223

Other practice location 1

2176 E Franklin Rd Ste 100
Meridian, ID 83642-8009
Phone (208) 515-7661

Other practice location 2

7950 N Horseshoe Bend Rd Ste 104
Boise, ID 83714-3809
Phone (208) 515-7661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1972124154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421549",
            "telephone_number": "208-353-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421549",
            "telephone_number": "208-515-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2176 E Franklin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428009",
            "country_code": "US",
            "telephone_number": "208-515-7661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 N Horseshoe Bend Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837143809",
            "country_code": "US",
            "telephone_number": "208-515-7661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ALEXANDER",
        "middle_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8331015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

All providers in Meridian, ID · Mental Health Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.