NPIMap

Organization Active NPI

Riverplace Counseling & Wellness

  • Counselor
  • Lewiston, ID
National Provider Identifier
1215306949
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LCPC5413 Issued in ID
Legal business name
RIVERPLACE COUNSELING & WELLNESS
Practice address
312 Miller St
Lewiston, ID 83501-1944
Phone
(208) 750-1802
Fax
(208) 750-1803
NPI assigned
Sep 23, 2015
Organization subpart
Yes
Parent organization
RIVERPLACE COUNSELING & WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Mrs. Ingrid S Blinn, LCPC
Title
Counselor/Owner
Phone
(208) 750-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LCPC5413 ID Primary

Addresses

Primary practice location

312 Miller St
Lewiston, ID 83501-1944

Mailing address

312 Miller St
Lewiston, ID 83501-1944
Phone (208) 750-1802

National Provider Directory

National Provider Directory
Tax ID family
Riverplace Counseling Wellness3 organizations share this tax ID, including this one
Part of
Riverplace Counseling Wellness

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 Miller St
Lewiston, ID 83501
Phone (208) 305-2596

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1215306949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MILLER ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011944",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MILLER ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011944",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPLACE COUNSELING & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERPLACE COUNSELING & WELLNESS",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "BLINN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "208-750-1802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC5413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.