Individual provider Active NPI

Lynne Anne Certain, LCPC

  • Mental Health Counselor
  • Priest River, ID
National Provider Identifier
1376681460
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-139 Issued in ID
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCPC-139IDMDMental 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

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.

Verify at the official NPI Registry.