Individual provider Active NPI

Nate Hooper, M.A., MFT

  • Marriage & Family Therapist
  • Priest River, ID
National Provider Identifier
1184858607
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46335 Issued in CA
Practice address
50 Main St
Priest River, ID 83856-6758
Phone
(208) 957-7550
NPI assigned
May 12, 2009
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 6801 ID
Marriage & Family Therapist 106H00000X 46335 CA Primary

Addresses

Primary practice location

50 Main St
Priest River, ID 83856-6758

Mailing address

1195 Cemetery Rd
Priest River, ID 83856-6585
Phone (208) 597-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103004266 ID Practitioner - Marriage and Family Therapist 1658722665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Wellness and Relationship Services LLCGroup PAC ID 5092106443, 8 clinicians

Practice addresses (Care Compare)

1110 W Park PL
Suite 303
Coeur D Alene, ID 83814-2784
Phone (208) 261-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801IDMDMarriage & Family Therapist
46335CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wellness and Relationship Services LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1110 W Park Pl
Ste 303
Coeur D Alene, ID 83814
Phone (208) 261-2255

30410 Highway 200
Ste 200B
Ponderay, ID 83852

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1184858607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 CEMETERY RD",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838566585",
            "telephone_number": "208-597-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAIN ST",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838566758",
            "telephone_number": "208-957-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "NATE",
        "credential": "M.A., MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "6801",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Priest River, ID

Sources for this page

Verify at the official NPI Registry.