LC-Advanced Health & Wellness

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LC-ADVANCED HEALTH & WELLNESS

Practice address

1428 G St
Lewiston, ID 83501-2031

Phone

(208) 848-4140

Fax

(208) 848-4143

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By 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

Mr. Anthony Brian Tenny, MSW, CADCNPI 1013775162

Title

Owner

Phone

(208) 816-0015

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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.

• Benjamin R Gatliff, MS, LPC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1316276645

  ID

  Medicare reassignment NPD
• Anthony Brian Tenny, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ID
  • NPI 1013775162
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1467268953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 G ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012031",
            "telephone_number": "208-848-4140",
            "fax_number": "208-848-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 G ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012031",
            "telephone_number": "208-848-4140",
            "fax_number": "208-848-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC-ADVANCED HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "TENNY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-816-0015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Rae Laney
• Richard Lang
• Cody Langaas
• Dorian Lamont Larsen, F.N.P.
• Amy Lynette Larson, ARNP
• Erin Leavitt
• Jacob Grant Leavitt, DMD
• Nathan Erin Leavitt, DDS
• Christopher J Lee, P.T.
• Rebecca Lehman, LMSW

• Psychologist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.