KENDRA RENAY CARSON LCPC
NPI 1639748494
Counselor - Mental Health in Boise, ID

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
148 S COLE RD, BOISE, ID 83709(208) 683-8320 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Jun 24, 2021 (2 updates tracked since 2021).

About Kendra Renay Carson Lcpc NPPES

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

KENDRA RENAY CARSON LCPC (NPI 1639748494) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LPC-8165) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639748494
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDRA RENAY CARSONCredential: LCPC
Location Address148 S COLE RDBoise, ID 83709-0932
Mailing Address12484 S Abbott Downing WayNampa, ID 83686-5672 · (208) 318-6682
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1639748494 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 · LPC-8165
148 S COLE RD, Boise, ID 83709

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kendra Renay Carson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234674623
PECOS Enrollment IDI20240710000719
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 20

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

Social Worker
148 S COLE RD
BOISE, ID 83709
Counselor (Mental Health)
148 S COLE RD
BOISE, ID 83709
Case Manager/Care Coordinator
148 S COLE RD
BOISE, ID 83709
Case Manager/Care Coordinator
148 S COLE RD
BOISE, ID 83709
Social Worker (Clinical)
148 S COLE RD
BOISE, ID 83709
Social Worker
148 S COLE RD
BOISE, ID 83709
Case Manager/Care Coordinator
148 S COLE RD
BOISE, ID 83709
Peer Specialist
148 S COLE RD
BOISE, ID 83709

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 Kendra Carson's NPI number?

The NPI number for Kendra Carson is 1639748494. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Kendra Carson located?

Kendra Carson practices at 148 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 683-8320.

What is Kendra Carson's specialty?

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

Is Kendra Carson enrolled in Medicare?

Yes. Kendra Carson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kendra Carson accept?

Health plans from Moda Health Plan, Inc. and Select Health list Kendra Carson 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 Kendra Carson was last updated on June 1, 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.