Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DUANE LILLY, ED.S
Active Sole ProprietorJERRY DUANE LILLY, ED.S is a Professional Counselor healthcare provider located in EAGLE, Idaho. NPI 1124390786 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · EAGLE, ID
Registration Details
- NPI Number
- 1124390786
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2012 (14.49586806804 yrs)
- Last Updated
- Sep 11, 2025
- License
-
LCPC-6990 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
172 S ACADEMY AVE STE 160EAGLE, ID, 836166564Browse ID providers · Browse ZIP 83616
- Phone
- 2083154855
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. DOROTHY ANN SPENNER | LCPC, LMFT | 1093768756 |
| MS. ELIZABETH ANN GILES-IHLING | M.A. | 1972510063 |
| MS. JANA M BRUNO | MA, LCPC | 1952425142 |
| MRS. ROSALIE JANE LYNCH | LCPC, LMHC, CMHC | 1841470333 |
| KRISTEN GERMAIN WARE | LPC | 1639355977 |
| MICHELE HARRIS | LCPC, M.ED | 1881870095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.