MR. GLEN S DRAKE (NPI# 1790815876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790815876 |
| Entity Type | Individual |
| Full Name | MR. GLEN S DRAKE |
| Credential | MA |
| Practice Address |
118 N 7th St Ste C13 Coeur D Alene ID 83814 |
| Mailing Address |
118 N 7th St Coeur D Alene ID 83814-2760 |
| Practice Telephone | 5597313727 |
| Mailing Telephone | 5597313727 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT6888 | ID | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC40112 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15050 E Sunset Shores Cir, Harrison, ID 838338807 | 5597313727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871553685 | Glen B. Drake | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-24 |
| Street Address |
118 N 7TH ST STE C13 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
| 1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1316364342 | Kristin Park | Marriage & Family Therapist | 1910 Northwest Blvd Ste 206, Coeur D Alene, ID 83814-2676 | 2014-03-27 |
| 1124245576 | Thomas R Vanfossen | Marriage & Family Therapist | 5431 N Government Way, Suite B, Coeur D Alene, ID 83815-5073 | 2007-04-19 |
| 1669595096 | Helena Louise Rouhe | Marriage & Family Therapist | 2900 N Government Way # 305, Coeur D Alene, ID 83815-3751 | 2007-04-09 |
| 1336118280 | Vickie Lauretta Arriaga-thorne | Marriage & Family Therapist | 1104 Ironwood Dr, Ste A, Coeur D Alene, ID 83814 | 2006-03-14 |
| 1598318040 | Jill Levering | Marriage & Family Therapist | 1625 N 4th St Ste 102c, Coeur D Alene, ID 83814-6178 | 2019-07-23 |
| 1164976114 | Devona Marie Mahal | Marriage & Family Therapist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2016-08-08 |
| 1578974192 | Natalie Anne Keese-hamm | Marriage & Family Therapist | 2201 Ironwood Place, Coeur D Alene, ID 83815 | 2014-05-16 |
| 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 MR. GLEN S DRAKE.
| 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.