NPI age
— years
Enumerated 2025-08-04
● Active
Type 1 · Individual
Susan Kelli Shake
Shake is 1 of 77 marriage & family therapist providers in Boise and 1 of 343 in Idaho.
Primary specialty
Marriage & Family Therapist
Plus 3 subspecialties
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 343 active marriage & family therapist providers in Idaho.
NPI age
0 years
↓ 11 yr below median (11 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
3
In the 40% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-08Enumerated in NPPES
2025
2026
Where they practice
Practice location
1655 W Fairview Ave Ste 209
Boise, ID 837025190
Mailing address
1655 W Fairview Ave Ste 209
Boise, ID 837025190
Specialties
-
Marriage & Family Therapist PrimaryA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
-
CounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
-
CounselorDefinition to come...
-
CounselorDefinition to come...
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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