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BRENDON BOGEDAHL GRAVES
NPI 1386510659
Peer Specialist in Boise, ID

Active since October 14, 2025
3663 N LAKEHARBOR LN, BOISE, ID 83703(208) 522-6155 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brendon Bogedahl Graves NPPES

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

BRENDON BOGEDAHL GRAVES (NPI 1386510659) is an individual peer specialist in Boise, Idaho and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1386510659
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRENDON BOGEDAHL GRAVES
Location Address3663 N LAKEHARBOR LNBoise, ID 83703-6913
Mailing Address12517 W Avanti DrBoise, ID 83713-0518
Phone(208) 522-6155
Sole ProprietorNo
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1386510659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3663 N LAKEHARBOR LN, Boise, ID 83703
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Other Providers at the Same Location NPPES 19

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

LAITEN ASHLEY CARR LMSW
Social Worker
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 286-4274
DONNIE HARKINS CADC
Counselor (Addiction (Substance Use Disorder))
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 286-4274
CHRISTIE DILLMAN
Peer Specialist
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 650-7359
JAMES WALSH
Counselor (Addiction (Substance Use Disorder))
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 261-9948
BRITTANY WELLS
Peer Specialist
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 650-7359
LUCIA HOGG
Peer Specialist
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 650-7359
KATIE SCHMEER
Peer Specialist
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 522-6155
KACIE MICHELLE STEVENS
Peer Specialist
3663 N LAKEHARBOR LN
BOISE, ID 83703
Ada County (208) 650-7359

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 Brendon Graves's NPI number?

The NPI number for Brendon Graves is 1386510659. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Brendon Graves located?

Brendon Graves practices at 3663 N Lakeharbor Ln, Boise, ID 83703. The listed phone number is (208) 522-6155.

What is Brendon Graves's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brendon Graves was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.