Individual provider Active NPI

Michelle Molen Schildhauer, L.P.C.

  • Counselor
  • Boise, ID
National Provider Identifier
1992092860
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-4653 Issued in ID
Practice address
400 N Benjamin LN
Ste 201
Boise, ID 83704-5094
Phone
(208) 287-5620
Fax
(208) 287-5609
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-4653 ID Primary

Addresses

Primary practice location

400 N Benjamin LN
Ste 201
Boise, ID 83704-5094

Mailing address

400 N Benjamin LN
Ste 201
Boise, ID 83704-5094
Phone (208) 287-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-4653IDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest District Health CurrentSince Nov 1, 2024 Accepting new patients
Southwest District Health CurrentSince Nov 1, 2024 Accepting new patients
Ada County Juvenile Court Services Past Accepting new patients

Locations

13307 Miami Ln
Caldwell, ID 83607
Phone (208) 455-5300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.schildhauer.1@20689.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1992092860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN",
            "address_2": "STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-5620",
            "fax_number": "208-287-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN",
            "address_2": "STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-5620",
            "fax_number": "208-287-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILDHAUER",
        "first_name": "MICHELLE",
        "middle_name": "MOLEN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.