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: October 18, 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 maintains 4 additional practice locations.

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

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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Secondary Practice Locations 4

Location 1411 Main Street Unit GKamiah, ID 83536 · Phone (208) 683-8320

Location 2509 S Middleton RdMiddleton, ID 83644-6046 · Phone (208) 683-8320

Location 3213 N Main St Ste 1BMoscow, ID 83843-2700 · Phone (208) 683-8320

Location 4496 Shoup Ave W Ste FTwin Falls, ID 83301-5043 · Phone (208) 683-8320

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Donavan Fitch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northend Wellness, LLC

3.8 mi

Psychologist

1310 W HAYS ST
Boise, ID 83702

Reassigned Medicare billing, Idaho enrollment
12 clinicians in this Medicare group

NPI 1306230958 (208) 949-6765

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 (Professional)

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

BREAYDYN PAYGE ANGLIN

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

MIRANDA MURPHY

Student in an Organized Health Care Education/Training Program

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

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.

Which organization bills Medicare for Donavan Fitch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donavan Fitch reassigns Medicare benefits to Northend Wellness, LLC (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donavan Fitch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donavan Fitch accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health 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.