OrganizationActive
Intentional Support, LLC
NPI 1982428306 · Mental Health Counselor · Boise, ID
Intentional Support, LLC is a Mental Health Counselor organization in Boise, ID (NPI 1982428306).
Provider details
- NPI number
- 1982428306
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Katie Gullickson, Registered Agent(208) 371-0641
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5840 S Mandolin Pl
Boise, ID 83709-6377
Phone: (208) 371-0641
Street-level locationGet directions
Mailing address
5840 S Mandolin Pl
Boise, ID 83709-6377
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Frequently asked questions
- What is Intentional Support, LLC's NPI number?
- Intentional Support, LLC's National Provider Identifier (NPI) is 1982428306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intentional Support, LLC?
- Intentional Support, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Intentional Support, LLC located?
- Intentional Support, LLC's practice location on file with NPPES is 5840 S Mandolin Pl, Boise, ID 83709-6377.
- What is Intentional Support, LLC's phone number?
- The practice phone number listed in the NPPES registry for Intentional Support, LLC is (208) 371-0641.
- Who is the authorized official for Intentional Support, LLC?
- The authorized official listed on Intentional Support, LLC's NPPES record is Katie Gullickson, Registered Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intentional Support, LLC's NPI active?
- Yes — Intentional Support, LLC's NPI (1982428306) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.