NPI Code Details Logo

NPI 1114871936

NPI 1114871936 : MARCUS LEE SAPPINGTON LPC : BOISE, ID

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114871936
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MARCUS LEE SAPPINGTON LPC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2026
-----------------------------------------------------
    Last Update Date     |    02/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    410 S ORCHARD ST STE 184 
-----------------------------------------------------
    City                 |    BOISE
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83705-1293
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-214-7408
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    942 N MAPLE GROVE RD APT C102 
-----------------------------------------------------
    City                 |    BOISE
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83704-7815
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    208-936-9142
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    7171891
-----------------------------------------------------
    License Number State |    ID
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.