MEDICARE: JULIE SEVERSON LCPC

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	101Y00000X	Counselor	5010	ID
2	101YM0800X	Mental Health Counselor	LCPC-6151	ID

General Provider Information

NPI Number	:	1881941631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SEVERSON LCPC

Provider Business Mailing Address
First Line	:	428 W FALL DR
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-4822
Country	:	US
Telephone Number	:	208-965-7600
Fax Number	:	888-604-8113

Provider Business Practice Location Address
First Line	:	3350 W AMERICANA TER STE 210A
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-2521
Country	:	US
Telephone Number	:	208-623-8530
Fax Number	:	888-604-8113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2012
Last Update Date	:	05/05/2022

Similar Medicare Providers

1912864737 — BOISE COUNSELING AND WELLNESS
Practice Location Address:

3350 W AMERICANA TER # 210B
BOISE, ID
83706-2521

Practice Phone: 208-991-7975
Practice Fax:

1235276460 — DR. PAT AKSAMIT PHD
Practice Location Address:

3350 AMERICANA TER , SUITE300
BOISE, ID
83706-2521

Practice Phone: 208-343-1113
Practice Fax: 208-343-0040

1053510636 — MARCI M DANIELSON M.S.
Practice Location Address:

3350 W AMERICANA TER , SUITE 215
BOISE, ID
83706-2521

Practice Phone: 208-989-0333
Practice Fax:

1073744066 — NICHOLE JORDAN M. COUN., LCPC, NCC
Practice Location Address:

3350 W AMERICANA TER , SUITE #215
BOISE, ID
83706-2521

Practice Phone: 208-342-7030
Practice Fax: 208-342-7030

1194040444 — MS. KAREN KRISTINE NEWKIRK LCPC
Practice Location Address:

3350 W AMERICANA TER , SUITE 300
BOISE, ID
83706-2521

Practice Phone: 208-343-1113
Practice Fax: 208-232-4944

1174816680 — MRS. KRISTINE ANN KIRSCH MCOUN., LPC
Practice Location Address:

3350 W AMERICANA TER , SUITE #215
BOISE, ID
83706-2521

Practice Phone: 208-830-8658
Practice Fax: 208-342-0667

Directions to “ JULIE SEVERSON LCPC” 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.