Active NPI
Lindsay Myrick
- Mental Health Counselor
- Hailey, ID
National Provider Identifier
1194543082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7641
- Practice address
- 309 1/2 S Main St
Hailey, ID 83333-8403 - Phone
- (281) 386-9054
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14109542-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 7641 | ID | Primary |
Addresses
Primary practice location
309 1/2 S Main St
Hailey, ID 83333-8403
Mailing address
PO Box 3410
Hailey, ID 83333-3410
Phone (281) 386-9054
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 |
|---|---|---|---|
| 7641 | ID | MD | Mental Health Counselor |
| 14109542-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resistance and Resilience Counseling and Consulting LLC | Mental Health | Current | Accepting new patients |
Locations
309 S Main St
Hailey, ID 83333
Phone (208) 789-1657
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Hailey, ID
- NPI 1174341820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1194543082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3410",
"city": "HAILEY",
"state": "ID",
"postal_code": "833333410",
"telephone_number": "281-386-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 1/2 S MAIN ST",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338403",
"telephone_number": "281-386-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "14109542-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "7641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.