KELLY VICTORIA JOELLE LOEHR LCPC
NPI 1043724065
Counselor in Boise, ID

Q: What is Kelly Loehr's NPI number?

The NPI number for Kelly Loehr is 1043724065. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Q: What is Kelly Loehr's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Loehr was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 29, 2017PECOS Enrolled

1075 E PARK BLVD, BOISE, ID 83712(208) 381-5970 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2021, Nov 29, 2017 (2 updates tracked since 2017).

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About Kelly Victoria Joelle Loehr Lcpc NPPES

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

KELLY VICTORIA JOELLE LOEHR LCPC (NPI 1043724065) is an individual counselor in Boise, Idaho, licensed in Idaho (LCPC-7923) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043724065

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLY VICTORIA JOELLE LOEHRCredential: LCPC

Location Address1075 E PARK BLVDBoise, ID 83712-7722

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5970

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 29, 2017

Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1043724065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LCPC-7923

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1075 E PARK BLVD, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Victoria Joelle Loehr Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820488042

PECOS Enrollment IDI20250618003458

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

RACHEL MARIE PIAZZA VOIGHT

Counselor (Mental Health)