Michael E Callender, LCPC
Individual provider Active NPI Professional Counselor · Meridian, ID
NPI 1982131314 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1982131314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC9688 (ID)
- Practice address
- 799 S Malachite Ave
Meridian, ID 83642-6394 - Phone
- (208) 350-6759
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314003537 | ID | Practitioner - Mental Health Counselor | 6507202363 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-9688 | ID | MD | Mental Health Counselor |
| LCPC9688 | ID | MD | Mental Health Counselor |
| LPC-6558 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael E Callender | Mental Health | Current |
Accepting new patients |
| Michael E Callender | Mental Health | Current |
Accepting new patients |
| Lifepath Services LLC | Single Specialty | Current |
Accepting new patients |
| Family Counseling Services | Past | Accepting new patients | |
| Family Counseling Services Inc | Mental Health | Past |
Accepting new patients |
Locations
8675 W Ardene St
Boise, ID 83709
Phone (208) 780-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC9688 | ID | Yes |
| Mental Health Counselor | 101YM0800X | LCPC9688 | ID |
Addresses
Primary practice location
799 S Malachite Ave
Meridian, ID 83642-6394
Mailing address
799 S Malachite Ave
Meridian, ID 83642-6394
Phone (323) 304-7950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982131314 | Medicaid | ID |
Other providers in Meridian, ID
- Shawn Calhoun
- Elias David Elkas Calkins
- Benjamin Call
- Cora Bailey Call
- Tyler Callahan
- Gregory B Callis
- Michael Craig Callis
- Aaron Robert Calvano
- Allison L Calverley
- Ray Edward Cammack
All providers in Meridian, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.