Safe Harbor Counseling Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701005793 Issued in VA

Legal business name

SAFE HARBOR COUNSELING CENTER LLC

Practice address

206 W Ironwood Dr # 1012
Coeur D Alene, ID 83814-2640

Phone

(757) 645-7722

Fax

(757) 645-2808

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Marie Frazier, LPC, LMFTNPI 1255751590

Title

Owner/Manager

Phone

(757) 645-7722

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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

• Lisa Marie Frazier, LPC, LMFT

  • Professional Counselor
  • Coeur D Alene, ID
  • NPI 1255751590

  ID, Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1104278142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W IRONWOOD DR # 1012",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "757-645-7722",
            "fax_number": "757-645-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W IRONWOOD DR # 1012",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "757-645-7722",
            "fax_number": "757-645-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Richmond Rd # 1053",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852831",
            "country_code": "US",
            "telephone_number": "757-645-7722",
            "fax_number": "757-645-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HARBOR COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "757-645-7722",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005793",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001312",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Whitney Ryan, PHD
• Tanya Ryan, LCSW
• Thomas P Ryan, NP
• Aaron Sadowsky
• David Marshal Saelens, MPT
• Safe Waters Mental Recovery PLLC
• Safeway Inc
• Safeway Inc
• Sage and Pine Counseling, LLC
• Linda M Sakai, MD

• All providers in Coeur D Alene, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.