NPIMap

Organization Active NPI

Trauma and Recovery Counseling PLLC

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1013744267
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRAUMA AND RECOVERY COUNSELING PLLC
Practice address
110 E Wallace Ave Ste B
Coeur D Alene, ID 83814-2948
Phone
(801) 885-0559
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Daniel AllenNPI 1588071427
Title
Owner
Phone
(801) 885-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

110 E Wallace Ave Ste B
Coeur D Alene, ID 83814-2948

Mailing address

110 E Wallace Ave Ste B
Coeur D Alene, ID 83814-2948
Phone (801) 885-0559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1013744267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WALLACE AVE STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142948",
            "telephone_number": "801-885-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WALLACE AVE STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142948",
            "telephone_number": "801-885-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND RECOVERY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-0559"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.