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MS. SHANNON L TRAVER LCPC
NPI 1922284900
Counselor - Professional in Boise, ID

Active since January 21, 2008Opted out of Medicare · through Apr 12, 2028
750 WARM SPRINGS AVE STE D, BOISE, ID 83712(208) 871-7693 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shannon L Traver Lcpc NPPES

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

MS. SHANNON L TRAVER LCPC (NPI 1922284900) is an individual professional provider in Boise, Idaho, licensed in Idaho (LCPC3935) and active in the NPI registry since January 2008. She has opted out of Medicare through April 12, 2028.

NPPES Registry Identity

NPI1922284900
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHANNON L TRAVERCredential: LCPC
Location Address750 WARM SPRINGS AVE STE DBoise, ID 83712-6457
Mailing Address750 Warm Springs Ave Ste DBoise, ID 83712-6457 · (208) 871-7693
Phone(208) 871-7693
Sole ProprietorYes
Enumeration DateJanuary 21, 2008
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1922284900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LCPC3935
750 WARM SPRINGS AVE STE D, Boise, ID 83712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Shannon L Traver Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2024 through April 12, 2028.

Opt-Out Effective DateApril 12, 2024
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Shannon Traver's NPI number?

The NPI number for Shannon Traver is 1922284900. It was assigned to this individual provider in the NPPES registry on January 21, 2008.

Where is Shannon Traver located?

Shannon Traver practices at 750 Warm Springs Ave Ste D, Boise, ID 83712. The listed phone number is (208) 871-7693.

What is Shannon Traver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shannon Traver enrolled in Medicare?

No. Shannon Traver has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Traver accept?

Health plans from PacificSource Health Plans list Shannon Traver 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 Shannon Traver was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.