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

Individual provider Mental Health Counselor · NPI 1295939080

Randy Wild, LCPC is a Mental Health Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3152 S Bown Way Ste 103
Boise, ID 83706-5456
Phone: (541) 550-7940
Fax: (541) 550-7941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C1740 (OR)

Record details

NPI number1295939080
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

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