MS. KATHYRN ANN SUMNER KELSO (NPI# 1851545628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851545628 |
| Entity Type | Individual |
| Full Name | MS. KATHYRN ANN SUMNER KELSO |
| Credential | LCPC |
| Practice Address |
980 W Ironwood Dr Suite 101 Coeur D Alene ID 83814-2668 |
| Mailing Address |
Po Box 996 Hayden ID 83835-0996 |
| Practice Telephone | 2087651455 |
| Mailing Telephone | 2086644026 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC361 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO LICENSE NUMBER | LCPC361 | 01 |
| Street Address |
980 W IRONWOOD DR SUITE 101 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552008 | Jean Marie Prince | Pediatrics | 980 W Ironwood Dr, Ste 302, Coeur D Alene, ID 83814-2604 | 2005-07-15 |
| 1538619630 | Breanne Huss | Advanced Practice Midwife | 980 W Ironwood Dr, Ste 306, Coeur D Alene, ID 83814-2668 | 2016-10-12 |
| 1760708044 | Faith Marie Krull | Midwife | 980 W Ironwood Dr, Suite 306, Coeur D Alene, ID 83814-2668 | 2010-04-13 |
| 1417270158 | Christy L Riley | Pediatrics | 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-2668 | 2010-03-09 |
| 1114161551 | Marston T Westbrook, Dds, LLC | Dentist | 980 W Ironwood Dr, Suite 301, Coeur D Alene, ID 83814-2668 | 2009-04-29 |
| 1619110822 | Kevin Jay Schultz | Obstetrics & Gynecology | 980 W Ironwood Dr, Suite 304, Coeur D Alene, ID 83814-2668 | 2009-04-17 |
| 1609029826 | Julie M. Meltzer | Obstetrics & Gynecology | 980 W Ironwood Dr, 306, Coeur D Alene, ID 83814-2668 | 2008-10-31 |
| 1518123660 | Katie Renee' Knapp | Massage Therapist | 980 W Ironwood Dr, Ste 101, Coeur D Alene, ID 83814-2668 | 2008-07-29 |
| 1255509410 | Apple Family Care Pllc | Family Medicine | 980 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2668 | 2008-02-11 |
| 1144408618 | Steven I Jessup | Specialist/Technologist | 980 W Ironwood Dr, Suite 207, Coeur D Alene, ID 83814-2668 | 2008-02-06 |
| Find all providers in the same location | ||||
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851947964 | Sebastian George Horton | Counselor | 250 Northwest Blvd Ste 103, Coeur D Alene, ID 83814-2971 | 2019-08-14 |
| 1457834921 | Amanda Mae Smith | Counselor | 1609 N Government Way, Coeur D Alene, ID 83814-3337 | 2018-09-11 |
| 1407333818 | Mariann Federspiel | Counselor | 560 W Canfield Ave Ste 300, Coeur D Alene, ID 83815-7953 | 2018-07-27 |
| 1710499777 | Joanna Siemens | Counselor | 501 E Garden Ave Apt 6, Coeur D Alene, ID 83814-2985 | 2017-10-31 |
| 1922451343 | Kaela Haycraft | Counselor | 250 Northwest Blvd Ste 107a, Coeur D Alene, ID 83814-2971 | 2016-07-20 |
| 1952775140 | Dirne Health Centers, Inc. | Counselor | 1765 W Golf Course Rd, Coeur D Alene, ID 83815-9033 | 2015-11-25 |
| 1922352798 | Lindsay Lartz | Counselor | 7905 N Meadowlark Way Ste B, Coeur D Alene, ID 83815-5041 | 2012-11-01 |
| 1518210129 | Kasey A Nixon | Counselor | 2195 Ironwood Ct Ste D, Coeur D Alene, ID 83814-2624 | 2012-10-19 |
| 1336426550 | Shelley Rae Phillips | Counselor | 212 S 11th St Ste 5, Coeur D Alene, ID 83814-4000 | 2011-11-16 |
| 1295015204 | Robin Bianco | Counselor | 2101 N Lakewood Dr, Suite 220, Coeur D Alene, ID 83814-2473 | 2011-08-22 |
| 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. KATHYRN ANN SUMNER KELSO.
| 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.