Organization Active NPI

Shadow River Counseling PLLC

  • Clinical Social Worker
  • St Maries, ID
National Provider Identifier
1427908599
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHADOW RIVER COUNSELING PLLC
Practice address
618 W College Ave Ste 1
St Maries, ID 83861-5010
Phone
(202) 082-6125
Fax
(208) 423-0345
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Ashley Milner, LCSWNPI 1912651100
Title
Clinician
Phone
(208) 261-2543

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

618 W College Ave Ste 1
St Maries, ID 83861-5010

Mailing address

PO Box 307
St Maries, ID 83861-0307
Phone (208) 261-2543

National Provider Directory

National Provider Directory

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": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1427908599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838610307",
            "telephone_number": "208-261-2543",
            "fax_number": "208-423-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W COLLEGE AVE STE 1",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838615010",
            "telephone_number": "202-082-6125",
            "fax_number": "208-423-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW RIVER COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "208-261-2543",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Maries, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.