P Praxis·MD
● Active Type 1 · Individual

MR. Lyle Spencer Bourcy, LCPC

Counselor·Fruitland, ID· NPI 1235130162 · Enumerated 2005 · 20 years on NPI
Bourcy is 1 of 7 counselor providers in Fruitland and 1 of 1313 in Idaho.
NPI age
20 years
Enumerated 2005-08-02
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
1303 Nw 16th St, Suite C
Fruitland, ID 836192263
📞 2082500374fax 2084522164
Mailing address
1303 Nw 16th St, Suite C
Fruitland, ID 836192263
📞 2082500374fax 2084522164

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-2757 taxonomy 101YP2500X

Identifiers

TypeValueNotes
01 (ID) Q3543 BLUE CROSS OF IDAHO PROVI
01 (ID) 0000101364 BLUE SHIELD OF IDAHO

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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