Sweetwater Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SWEETWATER COUNSELING

Practice address

720 Chute Canyon Way
Bonners Ferry, ID 83805-5220

Phone

(208) 610-2980

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Travis M Walker, LPC

Title

Owner

Phone

(208) 610-2980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1306552468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CHUTE CANYON WAY",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055220",
            "telephone_number": "208-610-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CHUTE CANYON WAY",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055220",
            "telephone_number": "208-610-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-610-2980",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Strand, M.D.
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• Susan F. Falck, MSW, LCSW, PC
• Dan Tadlock, LCSW
• Denys Taipale-Knight, M.ED
• Danielle E. Tholl, O.D., F.A.A.O.
• James Llewellyn Thompson, D.C.
• Katie Michelle Thompson, NP

• Professional Counselor in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.