Healthcare Provider Details

I. General information

NPI: 1033023767
Provider Name (Legal Business Name): KRISTI WEISMANN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3006 E GOLDSTONE DR
MERIDIAN ID
83642-1549
US

IV. Provider business mailing address

3006 E GOLDSTONE DR
MERIDIAN ID
83642-1549
US

V. Phone/Fax

Practice location:
  • Phone: 208-917-2540
  • Fax: 208-908-6164
Mailing address:
  • Phone: 208-917-2540
  • Fax: 208-908-6164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTI WEISMANN
Title or Position: CLINICIAN
Credential: LCPC
Phone: 208-850-5935