NPIMap

Organization Active NPI

Nexus Online Counseling PLLC

  • Clinical Social Worker
  • Post Falls, ID
National Provider Identifier
1154869428
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-35851 Issued in ID
Legal business name
NEXUS ONLINE COUNSELING PLLC
Practice address
2600 E Seltice Way # 113
Post Falls, ID 83854-7991
Phone
(509) 863-2601
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Ryan Mark McCrea, LCSW
Title
President
Phone
(509) 863-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW-35851 ID Primary

Addresses

Primary practice location

2600 E Seltice Way # 113
Post Falls, ID 83854-7991

Mailing address

2600 E Seltice Way # 113
Post Falls, ID 83854-7991
Phone (509) 863-2601

Other names 1

  • Nexus Online Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2600 E Seltice Way
#113
Post Falls, ID 83854
Phone (509) 863-2601

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1154869428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SELTICE WAY # 113",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547991",
            "telephone_number": "509-863-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SELTICE WAY # 113",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547991",
            "telephone_number": "509-863-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS ONLINE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-863-2601",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Online Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.