Caldwell Counseling Associates, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC234 Issued in ID

Legal business name

CALDWELL COUNSELING ASSOCIATES, PLLC

Practice address

2020 Blaine St
Caldwell, ID 83605-4343

Phone

(208) 880-6127

Fax

(208) 455-6244

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lyndell V. Jackson, LCPCNPI 1073654034

Title

Owner Counselor

Phone

(208) 880-6127

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyndell Jackson, LCPC

  • Mental Health Counselor
  • Caldwell, ID
  • NPI 1073654034
  NPD (past) Authorized official
• Jonathan Roy Minkoff, LCPC

  • Counselor
  • Caldwell, ID
  • NPI 1790853927
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417024209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054343",
            "telephone_number": "208-880-6127",
            "fax_number": "208-455-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054343",
            "telephone_number": "208-880-6127",
            "fax_number": "208-455-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LYNDELL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER COUNSELOR",
        "authorized_official_telephone_number": "208-880-6127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010016363",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "Q1109",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac K Burton, DO
• Krista Marie Bush, FNP-C
• Anthony Frederick Bushnell, PA-C
• Lance Joseph Buxton, N.P.
• Tara Byrne, LMSW
• Caldwell Internal Medicine Professional Association
• Caldwell of Cascadia, LLC (Caldwell Care of Cascadia)
• Caldwell Orthodontic Associates
• Caldwell Psychological Services P.a.
• Caldwell Radiological Associates Professional Association

• Mental Health Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.