Patterson Compassionate Counseling, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-202117 Issued in ID

Legal business name

PATTERSON COMPASSIONATE COUNSELING, LLC

Practice address

414 Shoup Ave
Suite 111
Idaho Falls, ID 83402-3603

Phone

(208) 524-6373

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Lavonna D Patterson, PHD

Title

Owner/President

Phone

(208) 524-6373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1487800470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SHOUP AVE",
            "address_2": "SUITE 111",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023603",
            "telephone_number": "208-524-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SHOUP AVE",
            "address_2": "SUITE 111",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023603",
            "telephone_number": "208-524-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON COMPASSIONATE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "LAVONNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-524-6373",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-202117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Pasley, PA-C
• Jainika Patel, MD
• Pathology Associates of Idaho Falls P a
• Patients First Neonatology LLC
• Patients First Neurology LLC
• Lavonna D Patterson, PHD
• Isobel Pawson, LMSW
• Jonathan Payne, M.S., CCC-SLP
• Matthew Scott Payne, D.O
• Samuel Dustin Payne

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.