NPI age
14 years
Enumerated 2012-01-29
● Active
Type 1 · Individual
Jerry Duane Lilly, ED.S
Lilly is 1 of 26 counselor providers in Eagle and 1 of 1313 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1313 active counselor providers in Idaho.
NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Practice location
172 S Academy Ave Ste 160
Eagle, ID 836166564
Mailing address
12073 N Humphreys Way
Boise, ID 837149343
Additional practice locations
1 secondary location on file with NPPES.
Location 2
12073 N Humphreys Way
Boise, ID 837149343
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new counselor provider has been added in Eagle in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.