Alyse Culpepper, MA
Individual provider Active NPI Marriage & Family Therapist · Meridian, ID
NPI 1982314902 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1982314902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 9187 (ID)
- Practice address
- 1025 E Radiant Ridge Dr
Meridian, ID 83642-4013 - Phone
- (208) 994-4620
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133747 | CA | MD | Marriage & Family Therapist |
| 9187 | ID | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 133747 | CA | |
| Marriage & Family Therapist | 106H00000X | 9187 | ID | Yes |
Addresses
Primary practice location
1025 E Radiant Ridge Dr
Meridian, ID 83642-4013
Mailing address
1025 E Radiant Ridge Dr
Meridian, ID 83642-4013
Other providers in Meridian, ID
- Jay M. Crutchfield
- Krista Crutchfield
- CSC Dental PC
- CSRM LLC
- Clinton Cullins
- Cultivate Counseling, LLC
- Hannah Lynn Cummings
- Michelle Cummings
- Travis R Cunningham
- Current Physical Therapy Meridian
All providers in Meridian, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.