Individual provider Active NPI

Linda Hill

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1053775320
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC4028 Issued in ID
Practice address
4215 N Canterbury Rd
Coeur D Alene, ID 83815-7872
Phone
(208) 660-6579
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Counselor 101YM0800X LCPC4028 ID Primary

Addresses

Primary practice location

4215 N Canterbury Rd
Coeur D Alene, ID 83815-7872

Mailing address

212 W Ironwood Dr Ste D
PO Box 141
Coeur Dalene, ID 83814
Phone (208) 660-6579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512003785 ID Practitioner - Mental Health Counselor 4587133251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4215 N Canterbury Rd
Coeur D Alene, ID 83815-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC4028IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Light Counseling Mental Health CurrentSince Jun 30, 2024 Accepting new patients

Locations

212 W Ironwood Dr
Ste D
Coeur D Alene, ID 83814
Phone (208) 755-3237

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1053775320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W IRONWOOD DR STE D",
            "address_2": "PO BOX 141",
            "city": "COEUR DALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-660-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 N CANTERBURY RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157872",
            "telephone_number": "208-660-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.