DEBORAH LEWIS (NPI# 1710088984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710088984 |
| Entity Type | Individual |
| Full Name | DEBORAH LEWIS |
| Credential | MSW, LMSW |
| Practice Address |
1070 Hiline Rd 210 Pocatello ID 83201-2947 |
| Mailing Address |
2420 E 25th St Idaho Falls ID 83404-7549 |
| Practice Telephone | 2084789081 |
| Practice Fax Number | 2084784999 |
| Mailing Telephone | 2085421026 |
| Mailing Fax Number | 2085282945 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LMSW-26974 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE | LCSW-29048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750787826 | Deborah Lewis | Dietitian, Registered | 2599 Kneff Cemetery Ln, Clay City, IL 62824-2232 | 2014-11-17 |
| 1447567987 | Deborah M Lewis | Occupational Therapy Assistant | 30 Cedar Knoll Dr, Wallkill, NY 12589-2814 | 2010-09-03 |
| 1245367556 | Deborah Lynne Lewis | Registered Nurse | 68625 Perez Rd Ste 11, Cathedral City, CA 92234-7250 | 2007-02-27 |
| 1235194564 | Deborah K Lewis | Counselor | 227 70th St S, St Petersburg, FL 33707-1220 | 2006-04-19 |
| 1053399352 | Deborah Marie Lewis | Nurse Practitioner | 106 E Gilmer St, Big Sandy, TX 75755-2129 | 2006-01-06 |
| 1306477260 | Deborah Lynn Lewis | Pharmacist | 731 W Market St, Troy, OH 45373-3003 | 2020-01-30 |
| 1528563012 | Deborah Jean Lewis | Counselor | 532 Main St Ste 3, Bennington, VT 05201-2161 | 2018-03-27 |
| 1609292788 | Deborah Lynn Lewis | Social Worker | 642 E 9 Mile Rd, Ferndale, MI 48220-1962 | 2014-03-12 |
| 1790063519 | Deborah Joy Lewis | Psychologist | 7330 N 16th St, Ste A120, Phoenix, AZ 85020-5237 | 2011-07-27 |
| 1659551570 | Deborah Lee Lewis | Social Worker | 1600 Central Ave, Far Rockaway, NY 11691-4008 | 2007-11-08 |
| Street Address |
1070 HILINE RD 210 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538576491 | Vernon Robert Kubiak | Nurse Practitioner | 1070 Hiline Rd, Suite 210, Pocatello, ID 83201-2947 | 2014-07-11 |
| 1417215997 | Paula Smith | Social Worker | 1070 Hiline Rd, Ste 210, Pocatello, ID 83201-2947 | 2012-05-02 |
| 1942584016 | Kathrine Dawn Cummings | Counselor | 1070 Hiline Rd, Suite 210, Pocatello, ID 83201-2947 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1588202907 | Brianna Dannielle Windhorst | Counselor | 611 Wilson Ave Ste 5, Pocatello, ID 83201-5046 | 2019-12-16 |
| 1417598384 | Barton Vandenburg | Counselor | 1001 N 7th Ave, Pocatello, ID 83201-5761 | 2019-10-02 |
| 1689163867 | Sarah Nicolle Baquet | Counselor | 224 S Arthur Ave # 2, Pocatello, ID 83204-3202 | 2018-05-03 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1730437500 | Jeremy Garth Coleman | Counselor | 1246 Yellowstone Ave Ste F, Pocatello, ID 83201-4374 | 2012-08-27 |
| 1255602983 | Covey LLC | Counselor | 730 E Clark St # 4571, Pocatello, ID 83201-6238 | 2012-01-26 |
| 1427337831 | Justice Isaacson | Counselor | Cognitive Restructuring LLC, 707 North 7th Ave Ste #d, Pocatello, ID 83201-3357 | 2011-08-16 |
| 1700165628 | Connie Kreizenbeck | Counselor | 409 Washington Ave., Pocatello, ID 83201 | 2011-08-09 |
| 1740568658 | Kimberly B Rasmussen | Counselor | 231 N 6th, Pocatello, ID 83201 | 2011-07-26 |
| 1699005132 | Gina H Judd | Counselor | 819 N 12th Ave, Pocatello, ID 83201-4741 | 2010-01-06 |
| Find all providers in POCATELLO | ||||
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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.