Angela Macdonald-Hertz LLC – Mental Health Counselor

Key facts

NPI: 1083325872
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: ANGELA MACDONALD-HERTZ LLC
Practice address: 2816 E Limestone
Post Falls, ID 83854-6233
Phone: (208) 807-6499
NPI assigned: Dec 12, 2022
Organization subpart: No

Authorized official

Name: Angela Macdonald, M. ED NPI 1710455696
Title: Mental Health Counselor
Phone: (208) 807-6499

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Angela M Macdonald, M.ED Counselor · Spokane, WA · NPI 1710455696

NPD Authorized official
Kelli Ann Johnson, MSW Clinical Social Worker · Spokane, WA · NPI 1114492840

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

2816 E Limestone
Post Falls, ID 83854-6233

Mailing address

2816 E Limestone
Post Falls, ID 83854-6233
Phone (208) 807-6499

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2022.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1083325872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E LIMESTONE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546233",
            "telephone_number": "208-807-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E LIMESTONE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546233",
            "telephone_number": "208-807-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA MACDONALD-HERTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "208-807-6499",
        "authorized_official_credential": "M. ED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.