Organization Active NPI

Poot Counseling, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hayden, ID
National Provider Identifier
1255845939
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30006966 Issued in WA
Legal business name
POOT COUNSELING, LLC
Practice address
1286 W Leisure Dr
Hayden, ID 83835-8834
Phone
(360) 421-2520
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mrs. Betsy Dale Poot, ARNP
Title
Co-Owner
Phone
(360) 421-2520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LH00005703 WA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP30006966 WA Primary

Addresses

Primary practice location

1286 W Leisure Dr
Hayden, ID 83835-8834

Mailing address

1286 W Leisure Dr
Hayden, ID 83835-8834
Phone (360) 421-2520

Other identifiers 1

IdentifierTypeStateIssuer
1013912385OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address betsy@pootcounseling.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1255845939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 W LEISURE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358834",
            "telephone_number": "360-421-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 W LEISURE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358834",
            "telephone_number": "360-421-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "POOT",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-421-2520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00005703",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013912385",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "betsy@pootcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1286 W Leisure Dr",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838358834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.