Active NPI
Poot Counseling, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Hayden, ID
National Provider Identifier
1255845939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30006966
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH00005703 | WA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013912385 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | betsy@pootcounseling.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.