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KELLIE HUMPHERYS LCSW
NPI 1629235353
Counselor - Mental Health in Boise, ID

Active since May 20, 2008PECOS Enrolled
6933 W EMERALD ST, BOISE, ID 83704(208) 321-0634(208) 321-1082 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kellie Humpherys Lcsw NPPES

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

KELLIE HUMPHERYS LCSW (NPI 1629235353) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCSW-37609) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629235353
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE HUMPHERYSCredential: LCSW
Location Address6933 W EMERALD STBoise, ID 83704-8616
Mailing Address6933 W Emerald StBoise, ID 83704-8616 · (208) 321-0634 · Fax (208) 321-1082
Phone(208) 321-0634
Fax(208) 321-1082
Sole ProprietorNo
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1629235353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCSW-37609
6933 W EMERALD ST, Boise, ID 83704
Open in Google Maps ↗

Other Identifiers 1

Medicaid002803300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans 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)

Kellie Humpherys Lcsw 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 Kellie Humpherys reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Horizons, Inc.
Same address
Mental Health
6933 W EMERALD ST
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 22 clinicians in this Medicare group
NPI 1265565477 (208) 321-0634

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 10

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

DINA LIN MATTINGLY
Nurse Practitioner (Family)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (858) 207-8790
RACHAEL ELIZABETH AUSTIN LCSW
Social Worker
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
SAMANTHA KAITLIN LEGAULT FNP-C
Nurse Practitioner (Family)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
MR. JERRY NABARRETE-STUART JR. LSMW
Social Worker (School)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL HORIZONS, INC.
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
MR. NEILL J JENSON LPC, NCC, NCSC
Counselor
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL HORIZONS INC
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634
ALL SEASONS MENTAL HEALTH
Peer Specialist
6933 W EMERALD ST
BOISE, ID 83704
Ada County (208) 321-0634

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 Kellie Humpherys's NPI number?

The NPI number for Kellie Humpherys is 1629235353. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Kellie Humpherys located?

Kellie Humpherys practices at 6933 W Emerald St, Boise, ID 83704. The listed phone number is (208) 321-0634.

What is Kellie Humpherys's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kellie Humpherys enrolled in Medicare?

Yes. Kellie Humpherys is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Humpherys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Humpherys reassigns Medicare benefits to All Horizons, Inc. (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 Kellie Humpherys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Humpherys accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Kellie Humpherys 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 Kellie Humpherys was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.