Active NPI
Melissa Morin
- Counselor
- Coeur D Alene, ID
National Provider Identifier
1073672283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60147140
- Practice address
- 4267 W Saw Blade LN
Coeur D Alene, ID 83814-0003 - Phone
- (509) 547-3633
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60147140 | WA | Primary |
Addresses
Primary practice location
4267 W Saw Blade LN
Coeur D Alene, ID 83814-0003
Mailing address
4267 W Saw Blade LN
Coeur D Alene, ID 83814-0003
Phone (509) 547-3633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60147140 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1073672283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4267 W SAW BLADE LN",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838140003",
"telephone_number": "509-547-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4267 W SAW BLADE LN",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838140003",
"telephone_number": "509-547-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60147140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.