Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790853927 Individual Practitioner Male Practitioner

Jonathan Roy Minkoff , LCPC

Counselor • Caldwell, ID

Professional Overview & Biography Verified Profile Summary

Jonathan Minkoff, LCPC is a registered healthcare professional specializing in Counselor in Caldwell, ID. Practice services are available at 2020 BLAINE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 Blaine Street

Caldwell, ID 83605

Telephone 2084532840
Fax 2084532840

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Caldwell, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Caldwell, ID (507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LCPC-126

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Regence Blueshield Of Id
000010017377 (ID)
Commercial Insurance / Payer ID Blue Cross Of Idaho
Q4608 (ID)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2020 BLAINE STREET, CALDWELL, ID 83605 (Tel: 2084532840)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11648 EVA LANE, CALDWELL, ID 836079716 (Tel: 2084532840)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN MINKOFF, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LCPC-126 in ID)

🟢
Initial NPI Registration & Enumeration December 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790853927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

11648 Eva Lane

Caldwell, ID 836079716

Phone: 2084532840

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.