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

Terry Shake

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1538791181

Terry Shake is an Addiction (Substance Use Disorder) Counselor in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
Specialties on file
2

Practice location Address checks out

9196 W Barnes Dr
Boise, ID 83709-1552
Phone: (208) 433-0400
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 33482 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11416 (ID)

Record details

NPI number1538791181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address7239 W Modoc St, Boise, ID 83709-6158

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