Active NPI
Lynne Anne Certain, LCPC
- Mental Health Counselor
- Priest River, ID
National Provider Identifier
1376681460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-139
- Practice address
- 301 Albeni Rd., Suite C
Priest River, ID 83856 - Phone
- (208) 448-4855
- Fax
- (208) 448-2467
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCPC-139 | ID | Primary |
Addresses
Primary practice location
301 Albeni Rd., Suite C
Priest River, ID 83856
Mailing address
PO Box 2101
Sandpoint, ID 83864-0900
Phone (208) 448-4855
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 |
|---|---|---|---|
| LCPC-139 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376681460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2101",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640900",
"telephone_number": "208-448-4855",
"fax_number": "208-448-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ALBENI RD., SUITE C",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "83856",
"telephone_number": "208-448-4855",
"fax_number": "208-448-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERTAIN",
"first_name": "LYNNE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Priest River, ID
- Kasandra Renee Anderson, LMSW
- Angels Rest Home Care
- Nelson Antoniuk, MD
- Boundary Regional Community Health Center, Inc. (Kaniksu Community Health)
- Boundary Regional Community Health Center, Inc. (Kaniksu Community Health)
- Chiropractic Plus
- Connections and Canine-Assisted Therapy
- Country Living LLC
- Abigail Lynn Croyle, LMT MAS-3691
- Patricia A De Blaquiere Sudick, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.