PAMELA FAGAN M.A., LCPC
NPI 1104093061
Counselor - Mental Health in Boise, ID

Q: What is Pamela Fagan's NPI number?

The NPI number for Pamela Fagan is 1104093061. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Q: What is Pamela Fagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Fagan was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 May 09, 2008

13923 W WAINWRIGHT DR STE 302, BOISE, ID 83713(208) 724-8598 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Pamela Fagan M.a., Lcpc NPPES

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

PAMELA FAGAN M.A., LCPC (NPI 1104093061) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC-4674) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1104093061

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePAMELA FAGANCredential: M.A., LCPC

Location Address13923 W WAINWRIGHT DR STE 302Boise, ID 83713-1969

Mailing Address13599 W Elmspring StBoise, ID 83713-1389 · (208) 724-8598

Phone(208) 724-8598

Sole ProprietorYes

Enumeration DateMay 9, 2008

Last NPPES UpdateFebruary 22, 2011

✔ NPI 1104093061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · LCPC-4674

13923 W WAINWRIGHT DR STE 302, Boise, ID 83713

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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 Pamela Fagan's NPI number?

The NPI number for Pamela Fagan is 1104093061. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Pamela Fagan located?

Pamela Fagan practices at 13923 W Wainwright Dr Ste 302, Boise, ID 83713. The listed phone number is (208) 724-8598.

What is Pamela Fagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Pamela Fagan was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.