GLIDDEN COUNSELING, LLC (NPI# 1467002923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467002923 |
Entity Type | Organization |
Organization Name | GLIDDEN COUNSELING, LLC |
Practice Address |
1224 Washington Ave Ste 205 Sandpoint ID 83864-5055 |
Mailing Address |
1106 Poplar St. Sandpoint ID 83864 |
Practice Telephone | 2085970994 |
Practice Fax Number | 2087016277 |
Mailing Telephone | 2085970994 |
Mailing Fax Number | 2087016277 |
Enumeration Date | 2019-09-17 |
Last Update Date | 2020-05-20 |
Authorized Official Name | BROM GLIDDEN (OWNER) |
Authorized Official Telephone | 2085970994 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 175T00000X | Peer Specialist | Other Service Providers | ||
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 807651800 | 05 |
Street Address |
1224 WASHINGTON AVE STE 205 |
City | SANDPOINT |
State | ID |
Zip Code | 83864-5055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
Find all providers in zip 83864 |
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 |
---|---|---|---|---|
1316352537 | Krisanne Edgcomb | Counselor | 229 Willies Way, Sandpoint, ID 83864-6145 | 2014-06-26 |
1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
1942505748 | Lori Suzanne Sanders | Counselor | 301 N 1st Ave Ste 203, Sandpoint, ID 83864-1458 | 2011-01-26 |
1649449877 | Karen Maurine Glaeser | Counselor | 311 S Boyer Ave, Sandpoint, ID 83864-1606 | 2008-02-21 |
1396091658 | Janice Carol Rothmeyer | Counselor | 506 N 4th Ave, Sandpoint, ID 83864-1513 | 2012-07-24 |
1306179908 | Jill Shelley Kahn | Counselor | 502 N 2nd Ave, Sandpoint, ID 83864-1558 | 2009-09-14 |
1770717621 | Janice Rene' Knight | Counselor | 1301 N Division Ave, Sandpoint, ID 83864-8268 | 2009-05-06 |
1750509741 | Toni Jones | Counselor | 105 Pine St, Suite 105b, Sandpoint, ID 83864-1369 | 2007-04-23 |
1417079013 | A Center for Counseling Services, Inc. | Counselor | 105 Pine St, Suite #108, Sandpoint, ID 83864-1369 | 2007-04-04 |
1124198437 | Winona Lee Wilson | Counselor | 105 Pine St, Suite 107, Sandpoint, ID 83864-1369 | 2006-11-08 |
Find all providers in SANDPOINT |
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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.