P Praxis·MD
● Active Type 1 · Individual

MR. Nathaniel Bonovitz, LCPC

Counselor·Eagle, ID· NPI 1154586550 · Enumerated 2008 · 17 years on NPI
Bonovitz is 1 of 28 counselor providers in Eagle and 1 of 1998 in Idaho.
NPI age
17 years
Enumerated 2008-07-24
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
1151 E Iron Eagle Dr
Eagle, ID 836166854
📞 4845575672
Mailing address
3631 Overland Rd
Boise, ID 837056033
📞 2083430441fax 2083434993

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPCID license #4869 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (ID) LPC #3820 LPC NUMBER

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Eagle in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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