SARA GOURLEY LPC
NPI 1174357602
Counselor - Professional in Boise, ID
About Sara Gourley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA GOURLEY LPC (NPI 1174357602) is an individual professional provider in Boise, Idaho, licensed in Idaho (9261779) and active in the NPI registry since August 2024. She has opted out of Medicare through October 1, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Sara Gourley Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.
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 Sara Gourley's NPI number?
The NPI number for Sara Gourley is 1174357602. It was assigned to this individual provider in the NPPES registry on August 28, 2024.
Where is Sara Gourley located?
Sara Gourley practices at PO Box 190863, Boise, ID 83719. The listed phone number is (208) 918-1828.
What is Sara Gourley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sara Gourley enrolled in Medicare?
No. Sara Gourley has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Sara Gourley was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sara Gourley, LPC · NPI 1174357602
Professional provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1174357602 (Entity type: Individual)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 9261779 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 190863, Boise, ID 83719-0863
- **Phone:** (208) 918-1828
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174357602) · Data from the CMS NPPES public registry.