Active NPI
Bill Irving
- Addiction (Substance Use Disorder) Counselor
- Coeur d'Alene, ID
National Provider Identifier
1215258108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1470009
- Practice address
- 1200 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2660 - Phone
- (208) 667-2979
- NPI assigned
- Jun 15, 2010
- Last updated
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1470009 | ID | Primary |
Addresses
Primary practice location
1200 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2660
Mailing address
1200 Ironwood Drive
Suite 101
Coeur D'Alene, ID 83814
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 |
|---|---|---|---|
| 1470009 | ID | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1215258108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 IRONWOOD DRIVE",
"address_2": "SUITE 101",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W IRONWOOD DR",
"address_2": "SUITE 101",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142660",
"telephone_number": "208-667-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "BILL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "1470009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
- Iron Roots Recovery & Mental Wellness, LLC (Iron Roots Recovery & Mental Wellness)
- Ironwood Chiropractic, Inc.
- Ironwood Drive Physical Therapy, PA (Hayden Lake Physical Therapy and Aquatics)
- Ironwood Family Practice, PA
- Elizabeth Marie Irvin, LMSW
- Ivy Court - Coeur D'Alene, LLC (Ivy Court)
- Ivy Court - Coeur D'Alene, LLC (Ivy Court)
- J.R. Haynie DDS PC (Lakeside Oral Surgery & Dental Implants)
- Kimberly Boyd Jabbes, DNP, AGPCNP-BC
- Dane William Jackson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.