Organization Active NPI

Susan F. Falck, MSW, LCSW, PC

Doing business as PlayWorks Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bonners Ferry, ID
National Provider Identifier
1154668796
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUSAN F. FALCK, MSW, LCSW, PC
Doing business as
PlayWorks Counseling Center
Practice address
7583 Main St
Hawkins House Healing Center
Bonners Ferry, ID 83805-1837
Phone
(208) 946-9572
Fax
(208) 267-9020
NPI assigned
Jan 15, 2013
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Susan Falck, LCSWNPI 1376861138
Title
Owmer/President/Provider
Phone
(208) 946-9572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7583 Main St
Hawkins House Healing Center
Bonners Ferry, ID 83805-1837

Mailing address

PO Box 1837
7583 Main St
Bonners Ferry, ID 83805-1837
Phone (208) 946-9572

Other identifiers 1

IdentifierTypeStateIssuer
1376861138MedicaidID

Other names 1

  • PlayWorks Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1154668796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1837",
            "address_2": "7583 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051837",
            "telephone_number": "208-946-9572",
            "fax_number": "208-267-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7583 MAIN ST",
            "address_2": "HAWKINS HOUSE HEALING CENTER",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051837",
            "telephone_number": "208-946-9572",
            "fax_number": "208-267-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F. FALCK, MSW, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "FALCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWMER/PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "208-946-9572",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376861138",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PlayWorks Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.