Individual provider Active NPI

Savannah Schertenleib

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1487419040
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10217 Issued in ID
Practice address
1110 W Park PL Ste 303
Coeur D Alene, ID 83814-2784
Phone
(208) 261-2255
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10217 ID Primary

Addresses

Primary practice location

1110 W Park PL Ste 303
Coeur D Alene, ID 83814-2784

Mailing address

623 E Harrison Ave
Coeur D Alene, ID 83814-3245
Phone (208) 305-2596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003542 ID Practitioner - Mental Health Counselor 4981046927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10217IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Roots Therapy, LLC Current Accepting new patients
Mental Wellness and Relationship Services LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1110 W Park Pl
Ste 303
Coeur D Alene, ID 83814
Phone (208) 261-2255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1487419040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E HARRISON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143245",
            "telephone_number": "208-305-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PARK PL STE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142784",
            "telephone_number": "208-261-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTENLEIB",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.