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ANDREW MICKLUS
NPI 1720816309
Peer Specialist in Boise, ID

Active since July 24, 2024
12553 W EXPLORER DR STE 190, BOISE, ID 83713(208) 376-7083 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Micklus NPPES

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

ANDREW MICKLUS (NPI 1720816309) is an individual peer specialist in Boise, Idaho and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1720816309
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameANDREW MICKLUS
Location Address12553 W EXPLORER DR STE 190Boise, ID 83713-1612
Mailing Address12553 W Explorer Dr Ste 190Boise, ID 83713-1612 · (208) 376-7083
Phone(208) 376-7083
Sole ProprietorNo
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1720816309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
12553 W EXPLORER DR STE 190, Boise, ID 83713
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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.

AMBER LAROCCO CADC
Peer Specialist
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 376-7083
CADEN SEAN BENZINGER LPC
Counselor
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 376-7083
SARAH E SAMSON LCSW
Counselor (Addiction (Substance Use Disorder))
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 376-7083
MENTOR IDAHO, LLC
Clinic/Center (Developmental Disabilities)
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (951) 201-5914
MONICA VIRGEN
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 972-5254
TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 376-7083
DARBY ALISON OTTINGER
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 972-5254
NICOLE LAINE MARTINEZ
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Ada County (208) 972-5254

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 Andrew Micklus's NPI number?

The NPI number for Andrew Micklus is 1720816309. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Andrew Micklus located?

Andrew Micklus practices at 12553 W Explorer Dr Ste 190, Boise, ID 83713. The listed phone number is (208) 376-7083.

What is Andrew Micklus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Andrew Micklus was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.