Individual provider · Type 1 NPI

Mikaela Bayless

Professional Counselor · Boise, ID

NPI number 1386521649 Active

Practice location

8620 W Emerald St Ste 150
Boise, ID 83704-4839

Fax (208) 617-3270

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7981629 (ID)

Professional Counselor: Definition to come...

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About NPI 1386521649

Mikaela Bayless's National Provider Identifier is 1386521649, issued on Aug 19, 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 28, 2026.