Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Age Med Clinic

Organization Mental Health Counselor · NPI 1831065481

New Age Med Clinic is a Mental Health Counselor in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

3501 W Elder St Ste 102
Boise, ID 83705-4986
Phone: (208) 573-3053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavioral Neurology & Neuropsychiatry Physician (primary) Taxonomy 2084B0040X
Mental Health Counselor Taxonomy 101YM0800X
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1831065481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Donnelly — Co-Owner · (208) 573-3053
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025
Mailing address4320 W Edgemont St, Boise, ID 83706-2304

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