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LEO MIRONOVICH
NPI 1194517417
Counselor - Professional in Nampa, ID

Active since May 21, 2025
9850 W ST LUKES DR STE 320, NAMPA, ID 83687(208) 505-2222 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, May 21, 2025 (2 updates tracked since 2025).

About Leo Mironovich NPPES

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

LEO MIRONOVICH (NPI 1194517417) is an individual professional provider in Nampa, Idaho, licensed in Idaho (3271766) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1194517417
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLEO MIRONOVICH
Location Address9850 W ST LUKES DR STE 320Nampa, ID 83687-7912
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 505-2222
Sole ProprietorNo
Enumeration DateMay 21, 2025
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1194517417 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 · 3271766
9850 W ST LUKES DR STE 320, Nampa, ID 83687
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Accepted Insurance

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

Other Providers at the Same Location NPPES 7

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

CARA FEARNEYHOUGH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
CARAJEAN GRAY LCSW
Social Worker (Clinical)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
DUKE M NYARECHA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
MRS. MEGAN BOHLEN LPC
Counselor (Mental Health)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
MRS. CYNTHIA ANNE MAUZERALL LCPC
Counselor
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
BRITTANY VAN NESS MD
Psychiatry & Neurology (Psychiatry)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222
MS. LISA JOHNSON LCPC
Counselor (Professional)
9850 W ST LUKES DR STE 320
NAMPA, ID 83687
Canyon County (208) 505-2222

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 Leo Mironovich's NPI number?

The NPI number for Leo Mironovich is 1194517417. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Leo Mironovich located?

Leo Mironovich practices at 9850 W St Lukes Dr Ste 320, Nampa, ID 83687. The listed phone number is (208) 505-2222.

What is Leo Mironovich's specialty?

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

What insurance does Leo Mironovich accept?

Health plans from Moda Health Plan, Inc. list Leo Mironovich 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 Leo Mironovich was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.