Jacqueline Lee Butera, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC3268 Issued in ID

Practice address

1200 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2660

Phone

(208) 664-9729

Fax

(208) 263-7515

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033325543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 N MARTHA LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159143",
            "telephone_number": "208-691-9738",
            "fax_number": "208-263-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W IRONWOOD DR",
            "address_2": "SUITE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142660",
            "telephone_number": "208-664-9729",
            "fax_number": "208-263-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "JACQUELINE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC3268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Burton
• Ann Marie Burton
• Nikki D Burton, MAT
• Victor George Burton, IP
• Barclay Buss, MFT, LCPC
• Kelsi Butherus, O.D.
• Christopher Butler, D.P.M.
• Nichole Janine Buynak, DO
• Thomas J Byrne, PA-C
• Karen S. Cabell, DO

• 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 Jul 8, 2007; 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.