P Praxis·MD
● Active Type 1 · Individual

Frank E Shull, MED LCPC

Counselor·Lewiston, ID· NPI 1336138106 · Enumerated 2005 · 20 years on NPI
Shull is 1 of 23 counselor providers in Lewiston and 1 of 1313 in Idaho.
NPI age
20 years
Enumerated 2005-10-14
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
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
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
1630 23rd Ave, Bldg 301
Lewiston, ID 83501
📞 2087903083fax 2087987177
Mailing address
317 15th Ave
Lewiston, ID 83501
📞 2087903083fax 2087987177

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC3102 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    WA license #LH00004257 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (ID) 05191 BLUE CROSS OF ID
01 (ID) 000010147555 REGENCE BLUE SHIELD OF ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 14 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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