DONAVAN ALYSE FITCH LPC
NPI 1407626138
Counselor - Professional in Boise, ID

Q: What is Donavan Fitch's NPI number?

The NPI number for Donavan Fitch is 1407626138. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Q: What is Donavan Fitch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donavan Fitch was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 03, 2024PECOS Enrolled

148 S COLE RD, BOISE, ID 83709(208) 683-8320 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2024, Jan 3, 2024 (2 updates tracked since 2024).

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About Donavan Alyse Fitch Lpc NPPES

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

DONAVAN ALYSE FITCH LPC (NPI 1407626138) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-9595) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407626138

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDONAVAN ALYSE FITCHCredential: LPC

Location Address148 S COLE RDBoise, ID 83709-0932

Mailing Address148 S Cole RdBoise, ID 83709-0932 · (208) 683-8320 · Fax (208) 969-8380

Phone(208) 683-8320

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 3, 2024

Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1407626138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-9595

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-9595 (ID)

148 S COLE RD, Boise, ID 83709

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donavan Alyse Fitch Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527409036

PECOS Enrollment IDI20250808003712

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CHELSEA LOUISE LAFEE LMSW

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

KENNA BOLEN LPC, CM, CBRS

Counselor (Mental Health)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

SHARIAH MICHELLE PHILLIPS

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

ALLISON NICOLE VAN DER VEEN

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

JUDITH CARON LCSW

Social Worker (Clinical)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

MADISON M HENSON

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

DARBY FULWIDER

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

GERMAINE MARLO AUSTIN BSW

Peer Specialist

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

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 Donavan Fitch's NPI number?

The NPI number for Donavan Fitch is 1407626138. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Donavan Fitch located?

Donavan Fitch practices at 148 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 683-8320.

What is Donavan Fitch's specialty?

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

Is Donavan Fitch enrolled in Medicare?

Yes. Donavan Fitch is registered in the Medicare PECOS enrollment system.

What insurance does Donavan Fitch accept?

Health plans from Moda Health Plan, Inc. list Donavan Fitch 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 Donavan Fitch was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.