Beachside Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEACHSIDE COUNSELING LLC

Practice address

1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682

Phone

(208) 964-4523

NPI assigned

Jul 24, 2021

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Bradley, LCPC, LMHCA, LAMFTNPI 1962067652

Title

Licensed Professional Counselor

Phone

(208) 274-3020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca R Bradley, LCPC, LMFT,LMHC, NCC

  • Marriage & Family Therapist
  • Coeur d'Alene, ID
  • NPI 1962067652
  NPD Authorized official

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1104599331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 330",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-274-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 330",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-964-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "208-274-3020",
        "authorized_official_credential": "LCPC, LMHCA, LAMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne D Baures, RPH
• Michelle L Baxter, ARNP
• Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS
• Be Well Therapy Group of Idaho PLLC
• Erika Jean Beachler, M.T.
• Beacon Cancer Care PLLC (Beacon Clinic)
• Beacon Cancer Care PLLC
• Matthew C. Bean, MD
• Robin Marie Beard, ARNP
• Britta Beasley, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.