JAMES J DRAKE (LPC) – Counselor, NPI 1063752764

JAMES J DRAKE (LPC) is a healthcare provider. based in Boise, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LPC. They hold a License No. LPC-5225 (ID). The NPI Number for JAMES J DRAKE (LPC) is 1063752764

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JAMES J DRAKE (LPC)
NPI
1063752764
Phone
(208) 577-4800
Address
6300 W DENTON ST
Enumeration Date
18 February 2013
Last Update Date
17 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61727781072240
Graduation Year
2013 (13 years ago)
PAC ID
9638517378
Group Practice PAC ID
9032181433
Professional Enrollment ID
I20240401002323
Address ID
MA024454445BR43XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for JAMES J DRAKE (LPC)

  • 6300 W DENTON ST

    BOISE, ID 837049326

    Phone: (208) 577-4800

    Fax: (208) 287-5609

    Type: Mailing

  • 1720 N WESTGATE DR

    BOISE, ID 837047164

    Phone: (208) 501-3896

    Fax: (208) 334-0812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240401002323IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032181433View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)RI
Clinical Social WorkerMA
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Clinical PsychologistMA

Reviews

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Frequently asked questions

How do I look up JAMES J DRAKE (LPC) by NPI?
Use NPI 1063752764 when you need to reference JAMES J DRAKE (LPC) in forms, claims, or directories.
Is JAMES J DRAKE (LPC) active in the national directory?
JAMES J DRAKE (LPC)'s public NPI profile is in an active state.
Does JAMES J DRAKE (LPC) list a primary specialty?
If you are matching referrals, note Counselor for JAMES J DRAKE (LPC). Clinical services aligned with this taxonomy classification.
What location shows for JAMES J DRAKE (LPC)?
We surface Boise, Idaho for JAMES J DRAKE (LPC) based on available NPPES addresses.
What if Boise, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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