CENTRAL IDAHO COUNSELING (NPI# 1629461215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629461215 |
Entity Type | Organization |
Organization Name | CENTRAL IDAHO COUNSELING |
Practice Address |
125 Commerce St B Mccall ID 83638-5192 |
Mailing Address |
Po Box 1127 Mccall ID 83638-1127 |
Practice Telephone | 2086347817 |
Practice Fax Number | 2086345064 |
Mailing Telephone | 2084510101 |
Enumeration Date | 2015-03-06 |
Last Update Date | 2015-03-06 |
Authorized Official Name | SHAWN J BRILEY (OWNER) |
Authorized Official Telephone | 2084510101 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-5818 | ID | Behavioral Health & Social Service Providers |
Street Address |
125 COMMERCE ST B |
City | MCCALL |
State | ID |
Zip Code | 83638-5192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659581585 | Barbara Gail Norton | Social Worker | 125 Commerce St, Suite B, Mccall, ID 83638 | 2007-05-22 |
1205220191 | Margaux Edwards Crockett | Counselor | 125 Commerce St, Suite B, Mccall, ID 83638-5192 | 2015-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255897708 | Seanne Jo Safaii | Dietitian, Registered | 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | 2019-02-20 |
1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
1669923892 | Amy Leigh Forkan | Massage Therapist | 301 E Park St., Mccall, ID 83638 | 2016-10-24 |
1770982597 | Rachel L Smith | Acupuncturist | 106 E. Park St, Suite 102, Mc Call, ID 83638 | 2014-08-18 |
1275944498 | Central Idaho Counseling, Pllc | Social Worker | 125 Commerce St., Suite B, Mccall, ID 83638 | 2014-05-09 |
1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
1467882274 | Tamara Nagoda | Speech-Language Pathologist | 304 Edgewater Circle, Mccall, ID 83638 | 2013-11-14 |
1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
1992923544 | Mccall-donnelly School District #421 | Local Education Agency (LEA) | 124 Idaho Street, Mccall, ID 83638 | 2007-04-20 |
Find all providers in zip 83638 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
1093263287 | Ashley Marie Hughes | Counselor | 1002 Mission St, Mccall, ID 83638-4700 | 2016-09-15 |
1417329624 | Meghan Eileen Lightfoot | Counselor | 125 Commerce St Ste B, Mccall, ID 83638-5192 | 2015-10-27 |
1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
1205220191 | Margaux Edwards Crockett | Counselor | 125 Commerce St, Suite B, Mccall, ID 83638-5192 | 2015-03-27 |
1174855142 | Alena Coons | Counselor | 106 E Park St, Suite 127, Mccall, ID 83638-5066 | 2010-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
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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.