Individual provider

Jerry Lilly, ED.S

Professional Counselor

Jerry Lilly, ED.S is a Professional Counselor in Eagle, ID, registered under NPI 1124390786. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 172 S ACADEMY AVE STE 160, Eagle, ID 83616. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

172 S ACADEMY AVE STE 160, Eagle, ID 83616 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LCPC-6990 ID Professional Counselor primary

This provider holds licence LCPC-6990 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124390786 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 29, 2012
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialED.S
Practice address 172 S ACADEMY AVE STE 160
Eagle, ID 83616
(208) 315-4855
Mailing address 12073 N HUMPHREYS WAY
Boise, ID 83714
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124390786 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 3 9 0 7 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 6 9 0 7 7

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124390786?
NPI 1124390786 is the National Provider Identifier assigned to Jerry Lilly, ED.S in Eagle, ID. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Jerry Lilly, ED.S?
The phone number on file with NPPES is (208) 315-4855, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124390786 a valid number?
Yes. 1124390786 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.