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

Natalia Samudovsky, LCPC

Individual provider Counselor · NPI 1649752403

Natalia Samudovsky, LCPC is a Mental Health Counselor in Boise, Idaho. Qualified in 2018, 8 years ago. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

12553 W Explorer Dr Ste 190
Boise, ID 83713-1612
Phone: (208) 376-7083
Fax: (208) 321-5069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9023 (ID)
Counselor Taxonomy 101Y00000X · Licence 6969 (ID)

Record details

NPI number1649752403
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address12553 W Explorer Dr Ste 190, Boise, ID 83713-1612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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