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JERRY DUANE LILLY ED.S
NPI 1124390786
Counselor - Professional in Eagle, ID

Active since January 29, 2012
172 S ACADEMY AVE STE 160, EAGLE, ID 83616(208) 315-4855 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Dec 6, 2023, May 10, 2022 (3 updates tracked since 2022).

About Jerry Duane Lilly Ed.s NPPES

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

JERRY DUANE LILLY ED.S (NPI 1124390786) is an individual professional provider in Eagle, Idaho, licensed in Idaho (LCPC-6990) and active in the NPI registry since January 2012. He maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1124390786
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY DUANE LILLYCredential: ED.S
Location Address172 S ACADEMY AVE STE 160Eagle, ID 83616-6564
Mailing Address12073 N Humphreys WayBoise, ID 83714-9343 · (208) 315-4855
Phone(208) 315-4855
Sole ProprietorYes
Enumeration DateJanuary 29, 2012
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2023
✔ NPI 1124390786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LCPC-6990
172 S ACADEMY AVE STE 160, Eagle, ID 83616
Open in Google Maps ↗

Secondary Practice Location 1

Location 112073 N Humphreys WayBoise, ID 83714-9343 · Phone (208) 315-4855

Accepted Insurance

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

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.

MS. FRANCES MARIE ZUCCO LMHC, LPCC, NCC
Counselor (Mental Health)
172 S ACADEMY AVE STE 160
EAGLE, ID 83616
Ada County (808) 330-6294
BRIAN HUCK, LCSW COUNSELING AND CONSULTING, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
172 S ACADEMY AVE STE 160
EAGLE, ID 83616
Ada County (208) 494-1600

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 Jerry Lilly's NPI number?

The NPI number for Jerry Lilly is 1124390786. It was assigned to this individual provider in the NPPES registry on January 29, 2012.

Where is Jerry Lilly located?

Jerry Lilly practices at 172 S Academy Ave Ste 160, Eagle, ID 83616. The listed phone number is (208) 315-4855.

What is Jerry Lilly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jerry Lilly accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Jerry Lilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Lilly was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.