P Praxis·MD
● Active Type 2 · Organization

Michael Chippolla Lcsw Acadc Llc

Counselor·Boise, ID· NPI 1376489427 · Enumerated 2026 · 0 years on NPI
Michael Chippolla Lcsw Acadc Llc is 1 of 1998 counselor organizations in Idaho.
NPI age
— years
Enumerated 2026-04-28
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chippolla
Owner- Clinical Director
Last NPPES update
2026-04-28
Source: monthly bulk 2026-05

How this organization compares

Across 1998 active counselor providers in Idaho.

NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-04Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
4836 W Targee St
Boise, ID 837053655
📞 2087135250
Mailing address
4836 W Targee St
Boise, ID 837053655
📞 2087135250

Authorized official

Michael Chippolla, LCSW 35126
Owner- Clinical Director
📞 2087135250

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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