Samuel Neal, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-3994 Issued in ID

Practice address

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Phone

(208) 930-1740

Fax

(208) 930-1695

NPI assigned

Jun 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ambitions of Idaho IncGroup PAC ID 6305121328, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ambitions of Idaho, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur D Alene, ID
  • NPI 1003145533

  Professional

  Medicare reassignment Care Compare group NPD
• Ambitions of Idaho, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur D Alene, ID
  • NPI 1689133050
  NPD
• Liberty Services, LLC

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
  • NPI 1366794224
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1235510702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 W EBBTIDE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149755",
            "telephone_number": "208-640-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142114",
            "telephone_number": "208-930-1740",
            "fax_number": "208-930-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 W Mill Ave",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142489",
            "country_code": "US",
            "telephone_number": "208-676-9912 x107",
            "fax_number": "208-665-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SAMUEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-3994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natural Spine Solutions
• Sarah Renee Nave, RD
• Navigation Counseling
• NCD Financial, LLC
• Bethany Ann Neal, LMT
• Thomas Arthur Neal, MD
• Emma Neary
• Maddison M Neary, RDN,LD
• Neato Neuro LLC
• Jacqueline Kay Neff, DENTURIST

• Professional Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.