P Praxis·MD
● Active Type 1 · Individual

Susan Virginia Pennington, MA, MFTI

Counselor·Boise, ID· NPI 1194151936 · Enumerated 2013 · 12 years on NPI
Pennington is 1 of 144 counselor providers in Boise and 1 of 545 in Idaho.
NPI age
12 years
Enumerated 2013-09-25
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
1407 N 13th St
Boise, ID 837023531
📞 2084003352
Mailing address
1407 N 13th St
Boise, ID 837023531
📞 2084003352

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3050 N Lakeharbor Ln Ste 205
Boise, ID 837036243
📞 2084003352
Location 3
957 Industrial Rd Ste B
San Carlos, CA 940704152
📞 6508326902

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...
    taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new counselor providers have been added in Boise 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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