MEDICARE: HEIDI CARPENTER, LCPC, LLC

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	:	1417808460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIDI CARPENTER, LCPC, LLC

Provider Business Mailing Address
First Line	:	5000 N RIVERVISTA WAY
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1978
Country	:	US
Telephone Number	:	208-830-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 N LAKEHARBOR LN STE 120
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6917
Country	:	US
Telephone Number	:	208-830-2820
Fax Number	:

Authorized Official
Title or Position	:	OWNERE
Name	:	HEIDI CARPENTER
Credential	:	LCPC
Telephone Number	:	208-830-2820

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1194895276 — JAMES B TRAPP D.C.
Practice Location Address:

3050 N LAKEHARBOR LN STE 120
BOISE, ID
83703-6917

Practice Phone: 208-389-2225
Practice Fax: 208-336-2827

1790032324 — HEIDI CARPENTER LCPC
Practice Location Address:

3050 N LAKEHARBOR LN STE 120
BOISE, ID
83703-6917

Practice Phone: 208-830-2820
Practice Fax:

1295166064 — NATALIE GREGERSEN
Practice Location Address:

3050 N LAKEHARBOR LN STE 120
BOISE, ID
83703-6917

Practice Phone: 208-866-1640
Practice Fax:

1205700440 — JAMIE FROST LCSW
Practice Location Address:

3050 N LAKEHARBOR LN STE 120
BOISE, ID
83703-6917

Practice Phone: 208-918-1441
Practice Fax:

1952252090 — COMMUNITY HEALTH CLINICS, INC
Practice Location Address:

4306 W STATE ST
BOISE, ID
83703-4443

Practice Phone: 208-323-9600
Practice Fax: 208-466-5359

1164427159 — OMEGA MENTAL HEALTH
Practice Location Address:

5985 W. STATE ST.
BOISE, ID
83703

Practice Phone: 208-853-0071
Practice Fax: 208-853-9422

Directions to “HEIDI CARPENTER, LCPC, LLC ” 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.