NPI age
10 years
Enumerated 2015-08-27
● Active Type 2 · Organization
Lifepath Supports Inc
Lifepath Supports Inc is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Giles
Payee Provider
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
10 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
10112 W Overland Rd
Boise, ID 837091428
Mailing address
10112 W Overland Rd
Boise, ID 837091428
Authorized official
Tiffaney Giles, BA
Payee Provider
📞 2087803900
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Sharon Barnett, LCPC Counselor NPI 1467188920
- Julianne Bhak Speech-Language Pathologist NPI 1093685190
- Aaron California, LMSW Social Worker NPI 1134868649
- Sarah Cowman, LMSW Social Worker NPI 1154079655
- Hope Fredregill, COTA/L Occupational Therapy Assistant NPI 1942024997
- Nancy Hausner, LCSW Social Worker NPI 1124451067
- Elizabeth Hevner, BCBA Behavior Analyst NPI 1184469330
- Lynnette Khandaker, APRN-NP Nurse Practitioner NPI 1396292421
- Kimberly Tate Occupational Therapy Assistant NPI 1881587707
- Tallison Wilson, OTL Occupational Therapist NPI 1447015524
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.