Organization Active NPI

Reflections Counseling and Life Coaching LLC

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1275091167
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REFLECTIONS COUNSELING AND LIFE COACHING LLC
Practice address
11287 N Boyer Rd
Sandpoint, ID 83864-8860
Phone
(509) 480-8620
NPI assigned
Mar 9, 2019
Last updated
Mar 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2019

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

Authorized official

Name
Ms. Courtney A Riddle, LCSWNPI 1558734483
Title
Owner/Therapist
Phone
(509) 480-8620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11287 N Boyer Rd
Sandpoint, ID 83864-8860

Mailing address

550 Larkspur St Apt E313
Ponderay, ID 83852-5068
Phone (509) 480-8620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1275091167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LARKSPUR ST APT E313",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838525068",
            "telephone_number": "509-480-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11287 N BOYER RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648860",
            "telephone_number": "509-480-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS COUNSELING AND LIFE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-480-8620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.