Active NPI
Norman D. Sinclair, M.S.
- Mental Health Counselor
- Burley, ID
National Provider Identifier
1245540053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-3858
- Practice address
- 2311 Park Ave
Suite 8
Burley, ID 83318-2170 - Phone
- (208) 878-3350
- Fax
- (208) 878-3351
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-3858 | ID | Primary |
Addresses
Primary practice location
2311 Park Ave
Suite 8
Burley, ID 83318-2170
Mailing address
2311 Park Ave
Suite 8
Burley, ID 83318-2170
Phone (208) 878-3350
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-3858 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1245540053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 PARK AVE",
"address_2": "SUITE 8",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182170",
"telephone_number": "208-878-3350",
"fax_number": "208-878-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 PARK AVE",
"address_2": "SUITE 8",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182170",
"telephone_number": "208-878-3350",
"fax_number": "208-878-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "NORMAN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-3858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.