Active NPI
Cynthia Lee Nelson, L.P.C.
- Counselor
- Coeur D Alene, ID
National Provider Identifier
1154628667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-4099
- Practice address
- 1014 E Gilbert Ave
Coeur D Alene, ID 83815-4955 - Phone
- (208) 667-2392
- Fax
- (208) 666-1362
- NPI assigned
- Feb 17, 2011
- 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-4099 | ID | Primary |
Addresses
Primary practice location
1014 E Gilbert Ave
Coeur D Alene, ID 83815-4955
Mailing address
1014 E Gilbert Ave
Coeur D Alene, ID 83815-4955
Phone (208) 667-2392
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-4099 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1154628667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 E GILBERT AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838154955",
"telephone_number": "208-667-2392",
"fax_number": "208-666-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 E GILBERT AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838154955",
"telephone_number": "208-667-2392",
"fax_number": "208-666-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CYNTHIA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-4099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.