North Lakes Family Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NORTH LAKES FAMILY CENTER

Practice address

611 E Lakeside Ave
Coeur D Alene, ID 83814-2840

Phone

(208) 664-5941

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Michael William Marceau, LCSW

Title

President

Phone

(208) 664-5941

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cathleen Joyce Marceau, LCSW

  • Mental Health Counselor
  • Coeur D Alene, ID
  • NPI 1457417362
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1023260718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838161137",
            "telephone_number": "208-664-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E LAKESIDE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142840",
            "telephone_number": "208-664-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKES FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MARCEAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-664-5941",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.