Active NPI
Wendi McCutchen Adams, LCPC, CADC
- Professional Counselor
- Caldwell, ID
National Provider Identifier
1174768345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-5830
- Practice address
- 23423 Old Highway 30
Caldwell, ID 83607 - Phone
- (208) 353-6147
- Fax
- (866) 722-6557
- NPI assigned
- Dec 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-5830 | ID | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10280000 | ID |
Addresses
Primary practice location
23423 Old Highway 30
Caldwell, ID 83607
Mailing address
23423 Old Highway 30
Caldwell, ID 83607
Phone (208) 353-6147
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 |
|---|---|---|---|
| 10280000 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| LCPC-5830 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1174768345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23423 OLD HIGHWAY 30",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83607",
"telephone_number": "208-353-6147",
"fax_number": "866-722-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23423 OLD HIGHWAY 30",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83607",
"telephone_number": "208-353-6147",
"fax_number": "866-722-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEN ADAMS",
"first_name": "WENDI",
"credential": "LCPC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-5830",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "10280000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.