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SCOTT STANTLIFF LCPC
NPI 1467115428
Counselor - Professional in Boise, ID

Active since October 18, 2021PECOS Enrolled
1109 W MYRTLE ST STE 200, BOISE, ID 83702(208) 706-6375(208) 706-6395 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 9, 2026, Oct 18, 2021 (2 updates tracked since 2021).

About Scott Stantliff Lcpc NPPES

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

SCOTT STANTLIFF LCPC (NPI 1467115428) is an individual professional provider in Boise, Idaho, licensed in Idaho (LCPC-10257) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Caldwell, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467115428
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSCOTT STANTLIFFCredential: LCPC
Location Address1109 W MYRTLE ST STE 200Boise, ID 83702-6975
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-6375
Fax(208) 706-6395
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2021
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1467115428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LCPC-10257
1109 W MYRTLE ST STE 200, Boise, ID 83702
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Secondary Practice Location 1

Location 1709 Dearborn StCaldwell, ID 83605-4116 · Phone (208) 376-7083

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Stantliff Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820553159
PECOS Enrollment IDI20260717001564
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 5

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

CRISTINA MEDRANO-ENRIQUEZ
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
HANNAH HOWELL
Physical Therapist
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-2663
CARLY J WILSON MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 489-4300
DR. MARIO A CAMPOS M.D.
Psychiatry & Neurology (Psychiatry)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
PETER ADOLPHSON PMHNP-BC, RN, DNP
Nurse Practitioner (Psychiatric/Mental Health)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375

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 Scott Stantliff's NPI number?

The NPI number for Scott Stantliff is 1467115428. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Scott Stantliff located?

Scott Stantliff practices at 1109 W Myrtle St Ste 200, Boise, ID 83702. The listed phone number is (208) 706-6375.

What is Scott Stantliff's specialty?

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

Is Scott Stantliff enrolled in Medicare?

Yes. Scott Stantliff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Stantliff was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.