BEVERLY J HINES PHD, LPC
NPI 1316347057
Counselor - Professional in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since August 29, 2014

1414 W FRANKLIN ST, BOISE, ID 83702(208) 225-8462(208) 443-5571 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Beverly J Hines Phd, Lpc NPPES

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

BEVERLY J HINES PHD, LPC (NPI 1316347057) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-5574) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1316347057

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameBEVERLY J HINESCredential: PHD, LPC

Location Address1414 W FRANKLIN STBoise, ID 83702-5023

Mailing Address2675 S Mayflower WayBoise, ID 83709-8545 · (208) 484-0991 · Fax (208) 443-5571

Phone(208) 225-8462

Fax(208) 443-5571

Sole ProprietorYes

Enumeration DateAugust 29, 2014

Last NPPES UpdateJuly 3, 2023

NPPES CertifiedJuly 3, 2023

✔ NPI 1316347057 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 · LPC-5574

1414 W FRANKLIN ST, Boise, ID 83702

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Beverly J Hines Phd, 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 June 16, 2024 through June 16, 2026.

Opt-Out Effective DateJune 16, 2024

Opt-Out In Effect ThroughJune 16, 2026Opt-out affidavits renew automatically every two years unless cancelled