NPIMap

Individual provider Active NPI

Kristine I Mitchell, ND, LCPC, LMHC, CRC

  • Mental Health Counselor
  • Post Falls, ID
National Provider Identifier
1477705523
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-6117 Issued in ID
Practice address
2081 W Grange Ave
Post Falls, ID 83854-9659
Phone
(208) 457-1999
Fax
(208) 981-3777
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0015567 CO
Professional Counselor 101YP2500X C5459 OR
Professional Counselor 101YP2500X 11265674-6004 UT
Professional Counselor 101YP2500X LCPC-6117 ID
Counselor 101Y00000X LCPC-6117 ID
Mental Health Counselor 101YM0800X LH60246926 WA
Professional Counselor 101YP2500X BBH-LCPC-LIC-38900 MT
Mental Health Counselor 101YM0800X LCPC-6117 ID Primary

Addresses

Primary practice location

2081 W Grange Ave
Post Falls, ID 83854-9659

Mailing address

2081 W Grange Ave
Post Falls, ID 83854-9659
Phone (208) 457-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60246926WAMDMental Health Counselor
LPC0015567COMDProfessional Counselor
LCPC-6117IDMDProfessional Counselor
BBH-LCPC-LIC-38900MTMDProfessional Counselor
C5459ORMDProfessional Counselor
11265674-6004UTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1477705523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W GRANGE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549659",
            "telephone_number": "208-457-1999",
            "fax_number": "208-981-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W GRANGE AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549659",
            "telephone_number": "208-457-1999",
            "fax_number": "208-981-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "ND, LCPC, LMHC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0015567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "11265674-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-6117",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-6117",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60246926",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-38900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.