NPIMap

Organization Active NPI

Conceptual Counseling LLC

  • Case Management Agency
  • Coeur d'Alene, ID
National Provider Identifier
1417533639
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CONCEPTUAL COUNSELING LLC
Practice address
1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488
Phone
(208) 512-5085
Fax
(800) 865-1927
NPI assigned
Mar 18, 2021
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Joyl Jenkins, LCSWNPI 1679824965
Title
Owner
Phone
(208) 512-5085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488

Mailing address

1620 Northwest Blvd Ste 101
Coeur D Alene, ID 83814-2488
Phone (208) 512-5085

National Provider Directory

National Provider Directory
Tax ID family
Conceptual Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1620 Northwest Blvd
Ste 101
Coeur D Alene, ID 83814
Phone (208) 512-5085

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1417533639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-512-5085",
            "fax_number": "800-865-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-512-5085",
            "fax_number": "800-865-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPTUAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JOYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-512-5085",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.