SAMUEL PHILLIP LUQUE LPC,
NPI 1710178876
Counselor - Mental Health in Boise, ID

Q: What is Samuel Luque's NPI number?

The NPI number for Samuel Luque is 1710178876. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Samuel Luque's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Luque was last updated on May 16, 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.

Active since August 05, 2007PECOS Enrolled

1055 N CURTIS RD, BOISE, ID 83706(208) 367-2121 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Phillip Luque Lpc, NPPES

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

SAMUEL PHILLIP LUQUE LPC, (NPI 1710178876) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LPC-3615) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1710178876

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMUEL PHILLIP LUQUECredential: LPC,

Location Address1055 N CURTIS RDBoise, ID 83706

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-6180

Phone(208) 367-2121

Sole ProprietorYes

Enumeration DateAugust 5, 2007

Last NPPES UpdateMay 16, 2023

NPPES CertifiedMay 16, 2023

✔ NPI 1710178876 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-3615

1055 N CURTIS RD, Boise, ID 83706

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Secondary Practice Location 1

Location 11907 W Lemp StBoise, ID 83702-2546 · Phone (208) 841-7144 · Fax (208) 377-0099

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Phillip Luque Lpc, 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.

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.

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)