Active NPI
Jessica M Triplett, MA
- Mental Health Counselor
- Lewiston, ID
National Provider Identifier
1376980623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 312 Miller St.
River Place Counseling & Wellness
Lewiston, ID 83501-1944 - Phone
- (208) 750-1802
- Fax
- (208) 750-1803
- NPI assigned
- May 28, 2013
- Last updated
- Sep 15, 2015
- 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 | Primary |
Addresses
Primary practice location
312 Miller St.
River Place Counseling & Wellness
Lewiston, ID 83501-1944
Mailing address
312 Miller St.
River Place Counseling & Wellness
Lewiston, ID 83501-1944
Phone (208) 750-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000001 | Other | WA | WA STATE LICENSE |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1376980623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 MILLER ST.",
"address_2": "RIVER PLACE COUNSELING & WELLNESS",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011944",
"telephone_number": "208-750-1802",
"fax_number": "208-750-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 MILLER ST.",
"address_2": "RIVER PLACE COUNSELING & WELLNESS",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011944",
"telephone_number": "208-750-1802",
"fax_number": "208-750-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "1000001",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.