Ingri Suzanne Koloski, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-4252 Issued in ID

Practice address

8969 West Hepburn Lane
Garden City, ID 83714

Phone

(208) 972-4981

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1063816007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8969 W HEPBURN LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146722",
            "telephone_number": "208-972-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8969 WEST HEPBURN LANE",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "83714",
            "telephone_number": "208-972-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOSKI",
        "first_name": "INGRI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY",
            "identifier": "W 68721",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Connie Loosle

• Mental Health Counselor in Garden City, ID
• Providers in Garden City, 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 20, 2014; 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.