Pinnacle Counseling Center Northwest, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-36216 Issued in ID

Legal business name

PINNACLE COUNSELING CENTER NORTHWEST, LLC

Practice address

2101 N Lakewood Dr Ste 220
Coeur D Alene, ID 83814-2473

Phone

(208) 699-9065

NPI assigned

Jan 7, 2017

Organization subpart

No

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

Authorized official

Name

Kimberly S Lee, LCSW

Title

Owner

Phone

(208) 699-9065

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1376089896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3415",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838353415",
            "telephone_number": "208-699-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 220",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473",
            "telephone_number": "208-699-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE COUNSELING CENTER NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-07",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-699-9065",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-36216",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-36216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Gabrielle Pierson, PHARMD
• Rachel Marie Pierson, PA
• Jennifer Pike
• Philomena Pinard
• Pinewood Healthcare LLC
• Hope Pintos
• Dean Stanley Piovesan, LCPC
• Corynn Pittman
• Heaven Pittman
• Pivotal Whole Health Group

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.