NPIMap

Organization Active NPI

Cultivation, LLC

  • Professional Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1295353217
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CULTIVATION, LLC
Practice address
211 E. Coeur Dalene Ave. Ste 102
Coeur D'Alene, ID 83814
Phone
(208) 699-6817
Fax
(208) 620-2306
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Karly Ireland
Title
Office Manager/Admin Supervisor
Phone
(208) 699-6817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

211 E. Coeur Dalene Ave. Ste 102
Coeur D'Alene, ID 83814

Mailing address

211 E. Coeur Dalene Ave. Ste 102
Coeur D'Alene, ID 83814
Phone (208) 699-6817

National Provider Directory

National Provider Directory
Tax ID family
Cultivation Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1295353217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E. COEUR DALENE AVE. STE 102",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-699-6817",
            "fax_number": "208-620-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E. COEUR DALENE AVE. STE 102",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-699-6817",
            "fax_number": "208-620-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "KARLY",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMIN SUPERVISOR",
        "authorized_official_telephone_number": "208-699-6817"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.