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

Mr. Timothy Stephen Desantis, LCPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861837601

Mr. Timothy Stephen Desantis, LCPC is an Addiction (Substance Use Disorder) Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

8620 W Emerald St Ste 150
Boise, ID 83704-4824
Phone: (208) 672-2900
Fax: (208) 672-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCPC-4671 (ID)

Record details

NPI number1861837601
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 7, 2013

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