MS. MARIE ANN SHADE LCPC
NPI 1609945831
Counselor - Addiction (Substance Use Disorder) in Boise, ID

Q: What is Marie Shade's NPI number?

The NPI number for Marie Shade is 1609945831. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Marie A Shade Lcpc.

Q: What is Marie Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Marie Shade was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 06, 2006

684 N 9TH STREET, BOISE, ID 85702(208) 343-6636(208) 389-1474 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Marie Ann Shade Lcpc NPPES

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

MS. MARIE ANN SHADE LCPC (NPI 1609945831) is an individual addiction (substance use disorder) provider in Boise, Idaho, licensed in Idaho (LCPC44) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609945831

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. MARIE ANN SHADECredential: LCPC

Location Address684 N 9TH STREETBoise, ID 85702-5458

Mailing Address684 N 9th StreetBoise, ID 85702-5458 · (208) 343-6636 · Fax (208) 389-1474

Phone(208) 343-6636

Fax(208) 389-1474

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1609945831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in ID · LCPC44

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC44 (ID)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCPC44 (ID)

684 N 9TH STREET, Boise, ID 85702

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Other Names 1

Professional Name (2)Marie A Shade Lcpc

Other Identifiers 2

OtherQ1687ID · Blue Cross

Other000010016630ID · Regence Blue Shield

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 Marie Shade's NPI number?

The NPI number for Marie Shade is 1609945831. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Marie A Shade Lcpc.

Where is Marie Shade located?

Marie Shade practices at 684 N 9th Street, Boise, ID 85702. The listed phone number is (208) 343-6636.

What is Marie Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marie Shade was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.