Active NPI
Wholehearted Counseling Service
- Clinical Social Worker
- Lewiston, ID
National Provider Identifier
1033058862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WHOLEHEARTED COUNSELING SERVICE
- Practice address
- 3415 7TH St
Lewiston, ID 83501-4903 - Phone
- (208) 717-1650
- NPI assigned
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci L Birdsell, LMSW
- Title
- LMSW
- Phone
- (208) 791-0515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3415 7TH St
Lewiston, ID 83501-4903
Mailing address
3415 7TH St
Lewiston, ID 83501-4903
Phone (208) 717-1650
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lewiston, ID
- NPI 1427807627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1033058862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 7TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014903",
"telephone_number": "208-717-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 7TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014903",
"telephone_number": "208-717-1650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLEHEARTED COUNSELING SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-26",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "BIRDSELL",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LMSW",
"authorized_official_telephone_number": "208-791-0515",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.