BEVERLY OH (NPI# 1083080949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083080949 |
| Entity Type | Individual |
| Full Name | BEVERLY OH |
| Credential | LPC |
| Practice Address |
1125 E Polston Ave Suite A Post Falls ID 83854-6045 |
| Mailing Address |
2101 E Grandview Dr Coeur D Alene ID 83815-9547 |
| Practice Telephone | 2084571540 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-4478 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1125 E POLSTON AVE SUITE A |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518015122 | Acrs, Inc | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2007-01-08 |
| 1992296602 | Joseph Barrett | Case Manager/Care Coordinator | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2018-05-29 |
| 1811401359 | Anna Rose Mcguire | Case Manager/Care Coordinator | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2017-11-20 |
| 1992197164 | Rebecca Lynn White | Counselor | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2015-02-25 |
| 1013257468 | Patrick Ryan Reed | Physician Assistant | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2013-02-21 |
| 1093036600 | Abundant Wellnes Center | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2010-06-17 |
| 1316273543 | Robyn Suzanne Jamar | Social Worker | 1125 E Polston Ave, Ste. A, Post Falls, ID 83854-6045 | 2009-10-22 |
| 1881828051 | Robert Pierce Sherman Iv | Social Worker | 1125 E Polston Ave, Post Falls, ID 83854-6045 | 2009-05-04 |
| 1609010495 | Abundant Wellness Center | Community/Behavioral Health | 1125 E Polston Ave, Suite A, Post Falls, ID 83854-6045 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940936 | Joel Raymond Saccomanno | Counselor | 3095 N Stagecoach Dr, Post Falls, ID 83854-6608 | 2019-03-06 |
| 1255586582 | Deborah Kay Ferguson | Counselor | 1810 E Schneidmiller Ave, Suite 101-a, Post Falls, ID 83854-7084 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841814 | Bright Beginnings Counseling | Counselor | 113 Rosebud Dr, Rupert, ID 83350-9146 | 2020-11-02 |
| 1962029298 | Kami Roach | Counselor | 155 2nd Ave N Ste 201, Twin Falls, ID 83301-6163 | 2020-07-02 |
| 1457975781 | Nikhail Sinea Maestas | Counselor | 3649 N Lakeharbor Ln, Boise, ID 83703-6913 | 2020-06-02 |
| 1609415199 | Summit Creek Counseling LLC | Counselor | 57 Bannock St, Malad City, ID 83252-1240 | 2019-12-31 |
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1972145308 | Sarah Barnes | Counselor | 2068 S Eagle Rd, Meridian, ID 83642-6707 | 2019-10-17 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1932759404 | Stephanie Le Anne Beidman | Counselor | 800 Main St # 11, Lewiston, ID 83501-1838 | 2019-09-17 |
| 1750930277 | Julie Anne Meza | Counselor | 8691 W Mediterranean Ct, Boise, ID 83709-2600 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.