Cathleen Joyce Marceau, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW636 Issued in ID

Practice address

611 E Lakeside Ave
Coeur D Alene, ID 83814-2840

Phone

(208) 664-5941

Fax

(208) 667-2403

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 6, 2024 through Mar 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Lakes Family Center

  • Mental Health Counselor
  • Coeur D Alene, ID
  • NPI 1023260718
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457417362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838161137",
            "telephone_number": "208-664-5941",
            "fax_number": "208-667-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E LAKESIDE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142840",
            "telephone_number": "208-664-5941",
            "fax_number": "208-667-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEAU",
        "first_name": "CATHLEEN",
        "middle_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010015835",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "L1922",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Paul Mangum, RPH
• Kameron Manley
• Jamie Joanne Mann, BS
• Ashley Dawn Manning, PA-C
• Sausha Mannon, DENTURIST
• Emma C March, MSW
• Kawaii Siu Chui Marchese
• Vincent Marchese, NP-C, PMHNP-BC
• Heidi Markland, L.AC.
• Daniel Markowski, PHARM.D.

• Mental Health Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.