Active NPI
Bethany S Colaprete, M.ED, LPC
- Professional Counselor
- Moscow, ID
National Provider Identifier
1174864052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-5059
- Practice address
- 212 Rodeo Dr
Suite 410
Moscow, ID 83843-9798 - Phone
- (208) 882-5960
- NPI assigned
- Mar 3, 2013
- Last updated
- Mar 3, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-5059 | ID | Primary |
Addresses
Primary practice location
212 Rodeo Dr
Suite 410
Moscow, ID 83843-9798
Mailing address
1984 Brown Rd
Lenore, ID 83541-5095
Phone (208) 431-9119
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-5059 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362268800000",
"number": "1174864052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 BROWN RD",
"city": "LENORE",
"state": "ID",
"postal_code": "835415095",
"telephone_number": "208-431-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 RODEO DR",
"address_2": "SUITE 410",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838439798",
"telephone_number": "208-882-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLAPRETE",
"first_name": "BETHANY",
"middle_name": "S",
"credential": "M.ED, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-03",
"last_updated": "2013-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-5059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.