Individual provider · Type 1 NPI

Elisabeth Pederson, LPC

Peer Specialist · Boise, ID

NPI number 1578286407 Active

Practice location

545 N Benjamin Ln
Boise, ID 83704-9623

Call (208) 322-1026 Map

Mailing address

1520 S Whipoorwill Way
Boise, ID 83709-1369

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1578286407

Elisabeth Pederson, LPC's National Provider Identifier is 1578286407, issued on Sep 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Oct 27, 2025.