JACINDA CONRAD PSYD, LPC
NPI 1043629207
Counselor - Mental Health in Boise, ID

Active since August 12, 2014
10548 W BUSINESS PARK LN, BOISE, ID 83709(208) 890-7165 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacinda Conrad Psyd, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACINDA CONRAD PSYD, LPC (NPI 1043629207) is an individual mental health provider in Boise, Idaho and active in the NPI registry since August 2014. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1043629207
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACINDA CONRADCredential: PSYD, LPC
Location Address10548 W BUSINESS PARK LNBoise, ID 83709-6797
Mailing Address10548 W Business Park LnBoise, ID 83709-6797 · (208) 890-7165
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2014
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
NPI 1043629207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 10212 (ID)
10548 W BUSINESS PARK LN, Boise, ID 83709

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacinda Conrad Psyd, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577046333
PECOS Enrollment IDI20260311000041

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
10548 W BUSINESS PARK LN
BOISE, ID 83709
Nurse Practitioner (Family)
10548 W BUSINESS PARK LN
BOISE, ID 83709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacinda Conrad's NPI number?

The NPI number for Jacinda Conrad is 1043629207. It was assigned to this individual provider in the NPPES registry on August 12, 2014.

Where is Jacinda Conrad located?

Jacinda Conrad practices at 10548 W Business Park Ln, Boise, ID 83709. The listed phone number is (208) 890-7165.

What is Jacinda Conrad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacinda Conrad enrolled in Medicare?

Yes. Jacinda Conrad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacinda Conrad was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.