NPIMap

Organization Active NPI

Cultivation, LLC

  • Community/Behavioral Health Agency
  • Coeur D'Alene, ID
National Provider Identifier
1124466990
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CULTIVATION, LLC
Practice address
211 Coeur D'Alene Ave Ste 102
Coeur D'Alene, ID 83814
Phone
(208) 640-0861
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dan Hanks, LPC
Title
Owner
Phone
(208) 699-6817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

211 Coeur D'Alene Ave Ste 102
Coeur D'Alene, ID 83814

Mailing address

211 Coeur D'Alene Ave Ste 102
Coeur D'Alene, ID 83814
Phone (208) 640-0861

Other names 1

  • Cultivation Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cultivation Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

161 E Mallard Dr
Ste 100
Boise, ID 83706
Phone (208) 203-2781

8152 N Wayne Dr
Hayden, ID 83835
Phone (208) 444-9820

123 S Third Ave
Ste 1
Sandpoint, ID 83864
Phone (208) 265-4140

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1124466990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COEUR D'ALENE AVE STE 102",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-640-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COEUR D'ALENE AVE STE 102",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-640-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-699-6817",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivation Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2013; 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.