MRS. RAELYNN FRITZ GRANT LPC
NPI 1376804179
Counselor in Boise, ID

Active since June 07, 2012Opted out of Medicare · through Mar 31, 2027
410 S ORCHARD ST STE 132, BOISE, ID 83705(208) 761-0980 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Raelynn Fritz Grant Lpc NPPES

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

MRS. RAELYNN FRITZ GRANT LPC (NPI 1376804179) is an individual counselor in Boise, Idaho, licensed in Idaho (LPC 4853) and active in the NPI registry since June 2012. She has opted out of Medicare through March 31, 2027.

NPPES Registry Identity

NPI1376804179
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. RAELYNN FRITZ GRANTCredential: LPC
Location Address410 S ORCHARD ST STE 132Boise, ID 83705-1288
Mailing Address1415 S Colorado AveBoise, ID 83706-3741 · (208) 761-0980
Sole ProprietorYes
Enumeration DateJune 7, 2012
Last NPPES UpdateJune 11, 2012
NPI 1376804179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in ID · LPC 4853
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
410 S ORCHARD ST STE 132, Boise, ID 83705

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Raelynn Fritz Grant 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 March 31, 2025 through March 31, 2027.

Opt-Out Effective DateMarch 31, 2025
Opt-Out In Effect ThroughMarch 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
410 S ORCHARD ST STE 132
BOISE, ID 83705

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 Raelynn Grant's NPI number?

The NPI number for Raelynn Grant is 1376804179. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Raelynn Grant located?

Raelynn Grant practices at 410 S Orchard St Ste 132, Boise, ID 83705. The listed phone number is (208) 761-0980.

What is Raelynn Grant's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Raelynn Grant enrolled in Medicare?

No. Raelynn Grant has opted out of Medicare through March 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Raelynn Grant accept?

Health plans from PacificSource Health Plans list Raelynn Grant 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 Raelynn Grant was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.