ADRIENNE RAE PATRIDGE MS, LPC
NPI 1700356268
Counselor - Mental Health in Boise, ID
Active since November 27, 2018
About Adrienne Rae Patridge Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADRIENNE RAE PATRIDGE MS, LPC (NPI 1700356268) is an individual mental health provider in Boise, Idaho and active in the NPI registry since November 2018.
NPPES Registry Identity
NPI1700356268
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameADRIENNE RAE PATRIDGECredential: MS, LPC
Location Address1408 W HAYS STBoise, ID 83702-5028
Mailing Address1312 N 26th StBoise, ID 83702-2323 · (208) 919-9555 · Fax (208) 336-7125
Phone(208) 919-9555
Fax(208) 336-7125
Sole ProprietorNo
Enumeration DateNovember 27, 2018
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1700356268 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1408 W HAYS ST, Boise, ID 83702
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Community/Behavioral Health
1408 W HAYS ST
BOISE, ID 83702
BOISE, ID 83702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700356268, enumerated as an "individual" on November 27, 2018.
The provider is located at 1408 W HAYS ST BOISE, ID 83702 and the phone number is (208) 919-9555.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.