JACINDA CONRAD PSYD LPC NPI 1043629207

NPI Information

  • NPI: 1043629207
  • Provider Name: JACINDA CONRAD, PSYD, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10548 W BUSINESS PARK LN
    BOISE, ID
    ZIP 83709
  • Phone: (208) 890-7165

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NPI Details

Jacinda Conrad, PSYD, LPC is a mental health counselor in Boise, ID. Jacinda Conrad, PSYD, LPC NPI is 1043629207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10548 W BUSINESS PARK LN
BOISE, ID
ZIP 83709-797
Phone: (208) 890-7165

The enumeration date for this NPI number is 8/12/2014 and was last updated on 3/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)10212IDAHONo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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