Idaho Counseling and Trauma Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IDAHO COUNSELING AND TRAUMA CENTER

Practice address

1309 Ponderosa Dr
Sandpoint, ID 83864-8278

Phone

(208) 278-6027

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara K Baker, LMFTNPI 1225404973

Title

Owner

Phone

(208) 278-6027

Specialties & licenses 3

Addresses

Locations

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.

• Tamara Katrina Baker, M.A.

  • Marriage & Family Therapist
  • Sandpoint, ID
  • NPI 1225404973
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1316649106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE UNIT 2423",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640476",
            "telephone_number": "208-278-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PONDEROSA DR",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648278",
            "telephone_number": "208-278-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO COUNSELING AND TRAUMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-278-6027",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Hull, LCPC
• Human Connection Inc (Sandpoint Neurotherapy)
• Sharaya Hundeby, ARNP
• Edward Hunt, D.C.
• Shannon Hurd, LPC
• Idaho Neuro Dynamics LLC
• Idaho Pain Clinic PLLC
• Idaho Prosthodontics
• Donald Terrence Iddins, MD
• Ideal Option, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.