Individual provider Active NPI

Lesha Renee Cambra, LCPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1972138485
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8321987 Issued in ID
Practice address
7950 Horseshoe Bend Rd
Boise, ID 83714-3809
Phone
(208) 515-7661
NPI assigned
Mar 4, 2020
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8321987 ID Primary

Addresses

Primary practice location

7950 Horseshoe Bend Rd
Boise, ID 83714-3809

Mailing address

7950 N Horseshoe Bend Rd Ste 104
Boise, ID 83714-3809
Phone (208) 870-1653

Other names 1

  • Lesha Brandt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2025 through Jan 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8321987IDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1972138485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 N HORSESHOE BEND RD STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837143809",
            "telephone_number": "208-870-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 HORSESHOE BEND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837143809",
            "telephone_number": "208-515-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRA",
        "first_name": "LESHA",
        "middle_name": "RENEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8321987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESHA",
            "last_name": "BRANDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.