Individual provider · Type 1 NPI

Kenna Bolen, LPC, CM, CBRS

Professional Counselor · Boise, ID

NPI number 1013885045 Active

Practice location

148 S Cole Rd
Boise, ID 83709-0932

Call (208) 683-8320 Map

Other practice locations

213 N Main St Ste 1B, Moscow, ID 83843-2700 · (208) 683-8320
411 Main St., Unit F, Kamiah, ID 83536 · (208) 683-8320
496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 · (208) 683-8320
509 S Middleton Rd Ste 104, Middleton, ID 83644-6047 · (208) 683-8320

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Mental Health Counselor	101YM0800X	None listed
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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About NPI 1013885045

Kenna Bolen, LPC, CM, CBRS's National Provider Identifier is 1013885045, issued on Oct 29, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Aug 18, 2026.