P Praxis·MD
● Active Type 1 · Individual

MS. Marie Ann Shade, LCPC

Counselor·Boise, ID· NPI 1609945831 · Enumerated 2006 · 19 years on NPI
Shade is 1 of 55 counselor providers in Boise and 1 of 266 in Idaho.
NPI age
19 years
Enumerated 2006-11-06
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 266 active counselor providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
2
In the 17% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
684 N 9th Street
Boise, ID 857025458
📞 2083436636fax 2083891474
Mailing address
684 N 9th Street
Boise, ID 857025458
📞 2083436636fax 2083891474

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC44 taxonomy 101YA0400X
  • Counselor
    Definition to come...
    ID license #LCPC44 taxonomy 101YM0800X
  • Counselor
    Definition to come...
    ID license #LCPC44 taxonomy 101YP2500X

Identifiers

TypeValueNotes
01 (ID) Q1687 BLUE CROSS
01 (ID) 000010016630 REGENCE BLUE SHIELD

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 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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