Healthcare Provider Details

I. General information

NPI: 1043127202
Provider Name (Legal Business Name): ECHO BASE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 E DRUCKER LN
MERIDIAN ID
83642-5837
US

IV. Provider business mailing address

1513 E DRUCKER LN
MERIDIAN ID
83642-5837
US

V. Phone/Fax

Practice location:
  • Phone: 208-960-8062
  • Fax:
Mailing address:
  • Phone: 208-960-8062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH B SUMMERFIELD
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 208-960-8062