P Praxis·MD
● Active Type 1 · Individual

Shanell Wallentine, LPC

Counselor·Meridian, ID· NPI 1427837228 · Enumerated 2023 · 2 years on NPI
Wallentine is 1 of 114 counselor providers in Meridian and 1 of 1313 in Idaho.
NPI age
2 years
Enumerated 2023-09-21
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
3061 S Meridian Rd Ste 100
Meridian, ID 836427962
📞 2086205399fax 2085766915
Mailing address
2886 S Tagish Way
Meridian, ID 836429190
📞 2082721563

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-9724 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Meridian 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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