Active NPI
Debbie Greenberg, LPC-1042
- Counselor
- Hailey, ID
National Provider Identifier
1124429618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-1042
- Practice address
- 141 Citation Way Unit 5
Hailey, ID 83333-5104 - Phone
- (208) 578-2222
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC-1042 | ID | Primary |
Addresses
Primary practice location
141 Citation Way Unit 5
Hailey, ID 83333-5104
Mailing address
221 Eureka Dr
Hailey, ID 83333-8452
Phone (208) 860-7962
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 |
|---|---|---|---|
| LPC-1042 | ID | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Family Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Twin Falls, ID
- NPI 1104942218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1124429618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 EUREKA DR",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338452",
"telephone_number": "208-860-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 CITATION WAY UNIT 5",
"city": "HAILEY",
"state": "ID",
"postal_code": "833335104",
"telephone_number": "208-578-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "DEBBIE",
"credential": "LPC-1042",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-1042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.