Active NPI
Chantel Zuercher, LPC, NCC
- Mental Health Counselor
- Moscow, ID
National Provider Identifier
1336424134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-5205
- Practice address
- 207 S Main St
Moscow, ID 83843-2807 - Phone
- (208) 244-1446
- NPI assigned
- Oct 12, 2011
- Last updated
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-5205 | ID | Primary |
Addresses
Primary practice location
207 S Main St
Moscow, ID 83843-2807
Mailing address
1270A SW Center St
Pullman, WA 99163-5388
Phone (208) 244-1446
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 |
|---|---|---|---|
| LPC-5205 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomin Family Therapy, LLC | Current | Accepting new patients |
Locations
207 S Main St
Moscow, ID 83843
Phone (208) 244-1446
316 S Jefferson St
Moscow, ID 83843
Phone (208) 301-1189
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moscow, ID
- NPI 1457036436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1336424134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270A SW CENTER ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635388",
"telephone_number": "208-244-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432807",
"telephone_number": "208-244-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUERCHER",
"first_name": "CHANTEL",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-5205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.