Active NPI
Brian Shapiro
- Marriage & Family Therapist
- Orofino, ID
National Provider Identifier
1295130698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-32
- Practice address
- 155 Main Street Stuite C
Orofino, ID 83544 - Phone
- (208) 476-4230
- NPI assigned
- Oct 28, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-32 | ID | Primary |
Addresses
Primary practice location
155 Main Street Stuite C
Orofino, ID 83544
Mailing address
212 N 1St Ave Ste 103
Sandpoint, ID 83864-1400
Phone (208) 265-8195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-32 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Family Services | Past | Accepting new patients | |
| Sequel Alliance Family Services, LLC | Past | Accepting new patients | |
| Malone Counseling Service, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Moscow, ID
- NPI 1629398201
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orofino, ID
- NPI 1427388388
-
- Mental Health Counselor
- Coeur D Alene, ID
- NPI 1053734251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1295130698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 N 1ST AVE STE 103",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641400",
"telephone_number": "208-265-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN STREET STUITE C",
"city": "OROFINO",
"state": "ID",
"postal_code": "83544",
"telephone_number": "208-476-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orofino, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.