Active NPI
Desirae Britton, LPC
- Mental Health Counselor
- Coeur D Alene, ID
National Provider Identifier
1215260682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-3726
- Practice address
- 1042 W Mill Ave
Ste 205
Coeur D Alene, ID 83814-2489 - Phone
- (208) 446-9733
- Fax
- (208) 292-4544
- NPI assigned
- Sep 16, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-3726 | ID | Primary |
Addresses
Primary practice location
1042 W Mill Ave
Ste 205
Coeur D Alene, ID 83814-2489
Mailing address
12852 E Shadow LN
Athol, ID 83801-5065
Phone (208) 818-0532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2024 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-3726 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1215260682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12852 E SHADOW LN",
"city": "ATHOL",
"state": "ID",
"postal_code": "838015065",
"telephone_number": "208-818-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 W MILL AVE",
"address_2": "STE 205",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142489",
"telephone_number": "208-446-9733",
"fax_number": "208-292-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTON",
"first_name": "DESIRAE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-3726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.