P Praxis·MD
● Active Type 1 · Individual

MRS. Matina Bolster, LPC

Counselor·Coeur D Alene, ID· NPI 1174075030 · Enumerated 2016 · 9 years on NPI
Bolster is 1 of 25 counselor providers in Coeur D Alene and 1 of 545 in Idaho.
NPI age
9 years
Enumerated 2016-10-26
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
9 years
≈ at median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
1200 W Ironwood Dr
Coeur D Alene, ID 838142660
📞 2086649729
Mailing address
1200 W Ironwood Dr
Coeur D Alene, ID 838142660
📞 2086649729

Specialties

  • Counselor Primary
    A 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...
    ID license #LPC-6045 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Coeur D Alene 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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