P Praxis·MD
● Active Type 1 · Individual

Dominique Avery

Counselor·Boise, ID· NPI 1508254731 · Enumerated 2014 · 11 years on NPI
Avery is 1 of 409 counselor providers in Boise and 1 of 1313 in Idaho.
NPI age
11 years
Enumerated 2014-12-22
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-22
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
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-12Enumerated in NPPES
2014 2026

Where they practice

Practice location
1011 W Williams St, Suite G
Boise, ID 837063564
📞 2083520803
Mailing address
2302 N 14th St
Boise, ID 837021109

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-5677 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new counselor providers have been added in Boise 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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