IndividualActive
Jerry Lilly, ED.S
NPI 1124390786 · Professional Counselor · Eagle, ID
Jerry Lilly, ED.S is a Professional Counselor provider in Eagle, ID (NPI 1124390786).
Provider details
- NPI number
- 1124390786
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- ED.S
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCPC-6990 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
172 S Academy Ave Ste 160
Eagle, ID 83616-6564
Phone: (208) 315-4855
Street-level locationGet directions
Mailing address
12073 N Humphreys Way
Boise, ID 83714-9343
Additional practice locations (1)
- 12073 N Humphreys WayBoise, ID 83714-9343Phone: (208) 315-4855
Registry dates
- Enumerated
- 2012-01-29
- Last updated
- 2025-09-11
- Certified
- 2023-07-04
Frequently asked questions
- What is Jerry Lilly's NPI number?
- Jerry Lilly's National Provider Identifier (NPI) is 1124390786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Lilly's specialty?
- Jerry Lilly is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Lilly located?
- Jerry Lilly's practice location on file with NPPES is 172 S Academy Ave Ste 160, Eagle, ID 83616-6564.
- What is Jerry Lilly's phone number?
- The practice phone number listed in the NPPES registry for Jerry Lilly is (208) 315-4855.
- Is Jerry Lilly's NPI active?
- Yes — Jerry Lilly's NPI (1124390786) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.