MR. BEVIN JAY MODRAK LCPC
NPI 1326316514
Counselor - Mental Health in Boise, ID

Active since December 02, 2011
204 S COLE RD, BOISE, ID 83709(208) 319-9786(208) 319-7773 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bevin Jay Modrak Lcpc NPPES

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

MR. BEVIN JAY MODRAK LCPC (NPI 1326316514) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC4698) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1326316514
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BEVIN JAY MODRAKCredential: LCPC
Location Address204 S COLE RDBoise, ID 83709-0934
Mailing Address6568 S Federal Way, #124Boise, ID 83716-9277 · (208) 283-9710 · Fax (208) 319-7773
Fax(208) 319-7773
Sole ProprietorYes
Enumeration DateDecember 2, 2011
Last NPPES UpdateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
NPI 1326316514 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 · LCPC4698
204 S COLE RD, Boise, ID 83709

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Adult Mental Health)
204 S COLE RD
BOISE, ID 83709
Social Worker (Clinical)
204 S COLE RD
BOISE, ID 83709
Counselor (Mental Health)
204 S COLE RD
BOISE, ID 83709

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 Bevin Modrak's NPI number?

The NPI number for Bevin Modrak is 1326316514. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Bevin Modrak located?

Bevin Modrak practices at 204 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 319-9786.

What is Bevin Modrak's specialty?

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

What insurance does Bevin Modrak accept?

Health plans from Select Health list Bevin Modrak 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 Bevin Modrak was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.