ANNIE MIKESELL MA, LCPC
NPI 1528580776
Counselor - Mental Health in Boise, ID
About Annie Mikesell Ma, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNIE MIKESELL MA, LCPC (NPI 1528580776) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC7432) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annie Mikesell Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Annie Mikesell's NPI number?
The NPI number for Annie Mikesell is 1528580776. It was assigned to this individual provider in the NPPES registry on July 10, 2017.
Where is Annie Mikesell located?
Annie Mikesell practices at 410 S Orchard St Ste 124, Boise, ID 83705. The listed phone number is (208) 146-0719.
What is Annie Mikesell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Annie Mikesell enrolled in Medicare?
Yes. Annie Mikesell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Annie Mikesell was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Annie Mikesell, MA, LCPC · NPI 1528580776
Mental Health provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 10, 2017.
## Identity
- **NPI:** 1528580776 (Entity type: Individual)
- **Enumerated:** July 10, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC7432 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 410 S ORCHARD ST STE 124, Boise, ID 83705-1210
- **Phone:** (208) 146-0719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1528580776) · Data from the CMS NPPES public registry.