MS. BROOKE EARIN SJOSTROM (NPI# 1255807210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255807210 |
| Entity Type | Individual |
| Full Name | MS. BROOKE EARIN SJOSTROM |
| Other Name | JENNIFER BROOKE SJOSTROM |
| Credential | MS |
| Practice Address |
250 Northwest Blvd Ste 101a Coeur D Alene ID 83814-2971 |
| Mailing Address |
Po Box 129 Liberty Lake WA 99019-0129 |
| Practice Telephone | 2086911174 |
| Practice Fax Number | 2082478513 |
| Mailing Telephone | 2086911174 |
| Mailing Fax Number | 2082478513 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00007832 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-4347 | ID | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4407 N Division St Ste 603, Spokane, WA 992071660 | 2086911174 |
| Street Address |
250 NORTHWEST BLVD STE 101A |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510211 | Lisa Bunker | Counselor | 250 Northwest Blvd Ste 101a, Coeur D Alene, ID 83814-2971 | 2019-10-26 |
| 1073161717 | Kerry M Green | Counselor | 250 Northwest Blvd Ste 101a, Coeur D Alene, ID 83814-2971 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871156836 | Andrea Chernikoff | Counselor | 1038 Northwest Blvd, Coeur D Alene, ID 83814-2249 | 2019-04-16 |
| 1245773209 | Anulese Kennedy | Counselor | 4215 W Nez Perce Rd, Coeur D Alene, ID 83815-8802 | 2016-11-23 |
| 1477009041 | Shannon Jolly | Counselor | 1250 W Ironwood Dr Ste 335, Coeur D Alene, ID 83814-2682 | 2016-09-01 |
| 1538539697 | Lonnie M Stapp | Counselor | 1250 W Ironwood Dr Ste 303, Coeur D Alene, ID 83814-2682 | 2015-10-01 |
| 1679959522 | Rachel Reid | Counselor | 410 E Sherman Ave Ste 201, Coeur D Alene, ID 83814-2761 | 2015-08-03 |
| 1689053894 | Virginia Ross | Counselor | 2005 Ironwood Parkway, Coeur D Alene, ID 83814 | 2015-05-20 |
| 1154733137 | Karen Christine Mccabe | Counselor | 2426 N Merritt Creek Loop Ste B, Coeur D Alene, ID 83814 | 2014-05-27 |
| 1649616269 | Stephen W Gajewski | Counselor | 2448 N Merritt Creek Loop, Suite 2e, Coeur D Alene, ID 83814-6215 | 2013-05-22 |
| 1881949089 | Ashlie Gail Unruh | Counselor | 923 E Sherman Ave, Suite 200, Coeur D Alene, ID 83814-4938 | 2012-07-13 |
| 1992085773 | Cheri Mccormack | Counselor | 1042 W. Mill Ave., Suite 205, Coeur D Alene, ID 83814 | 2011-08-24 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on MS. BROOKE EARIN SJOSTROM.
| 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.