P Praxis·MD
● Active Type 1 · Individual

DR. Edward John Northam, PH.D.

Counselor·Nampa, ID· NPI 1326059072 · Enumerated 2006 · 19 years on NPI
Northam is 1 of 114 counselor providers in Nampa and 1 of 1313 in Idaho.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, NE
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-11-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
923 16th Ave S
Nampa, ID 836514731
📞 2089658788fax 2089652789
Mailing address
923 16th Ave S
Nampa, ID 836514731
📞 2089658788fax 2089652789

Specialties

  • Counselor Primary
    Definition to come...
    ID license #5698 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    NE license #406 taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (NE) 91185390827
01 (NE) 345988000 MAGELLAN
01 (NE) 114961 VALUE OPTIONS
01 (NE) 84913 BLUE CROSS BLUE SHIELD
05 (NE) 91185390826
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

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

Recently enumerated nearby: 1 new counselor provider has been added in Nampa 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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