MEDICARE: COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1558212761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC

Provider Business Mailing Address
First Line	:	4954 N WILD GOOSE WAY # A
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-5988
Country	:	US
Telephone Number	:	208-484-0920
Fax Number	:

Provider Business Practice Location Address
First Line	:	1883 N WILDWOOD ST STE B
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83713-5146
Country	:	US
Telephone Number	:	208-484-0920
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	HEIDI SENETHAVILAY
Credential	:	PH.D
Telephone Number	:	208-484-0920

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

Similar Medicare Providers

1447396486 — ANNE M BRIGGS DC LLC
Practice Location Address:

1839 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-322-3306
Practice Fax: 877-211-1313

1184763302 — CALLY R STONE MS,CCC-SLP
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-898-0988
Practice Fax: 208-898-9022

1093073405 — DR. JOSEPH J REITAN DPT
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-519-8305
Practice Fax:

1285004143 — AMY L OLSON MA, CCC-SLP
Practice Location Address:

1835 WILDWOOD ST
BOISE, ID
83713-5146

Practice Phone: 208-252-0847
Practice Fax:

1215396478 — JENNIFER ANN FULTON HOFER NP-C
Practice Location Address:

1883 WILDWOOD ST STE C
BOISE, ID
83713-5146

Practice Phone: 208-901-7006
Practice Fax:

1669825709 — DR. HEIDI SENETHAVILAY PHD, LPC
Practice Location Address:

1883 WILDWOOD ST STE G
BOISE, ID
83713-5146

Practice Phone: 208-484-0920
Practice Fax:

Directions to “COURAGE TO TALK THERAPEUTIC COUNSELING CENTER PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.