Individual provider Active NPI

Rebekah Lynn Keturah Cotner, MSW, LSWAIC/LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1972237311
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-45371 Issued in ID
Practice address
2273 S Vista Ave Ste 190
Boise, ID 83705-7341
Phone
(208) 343-2737
Fax
(208) 342-3238
NPI assigned
Jul 12, 2022
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61523960 WA
Clinical Social Worker 1041C0700X LCSW-45371 ID Primary

Addresses

Primary practice location

2273 S Vista Ave Ste 190
Boise, ID 83705-7341

Mailing address

2589 S Five Mile Rd
Boise, ID 83709-2325
Phone (208) 254-1027

Other practice location 1

750 E Warm Springs Ave
Boise, ID 83712-6475
Phone (208) 254-1028

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-45371IDMDClinical Social Worker
61523960WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Qualls Footnotes Counseling, LLC Clinical Current Accepting new patients
CPF Idaho Behavioral Health, LLC Past Accepting new patients

Locations

2589 S Five Mile Rd
Boise, ID 83709
Phone (208) 376-4929

Organizations & group practices 2

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1972237311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092325",
            "telephone_number": "208-254-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 S VISTA AVE STE 190",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837057341",
            "telephone_number": "208-343-2737",
            "fax_number": "208-342-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Warm Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126475",
            "country_code": "US",
            "telephone_number": "208-254-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTNER",
        "first_name": "REBEKAH",
        "middle_name": "LYNN KETURAH",
        "credential": "MSW, LSWAIC/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61523960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-45371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 E Warm Springs Ave",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837126475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.