Petra Ramirez, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

524 Cleveland Blvd Ste 205
Caldwell, ID 83605-4080

Phone

(208) 606-3008

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Stillwater Connection

  dba Middleton Counseling

  • Community/Behavioral Health Agency
  • Middleton, ID
  • NPI 1457867962
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1497485056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 2ND ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445478",
            "telephone_number": "986-895-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD STE 205",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054080",
            "telephone_number": "208-606-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22480 Duff Ln",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "836446041",
            "country_code": "US",
            "telephone_number": "208-965-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "PETRA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Quintana, MD
• Rainbow Children's Therapy
• Elena Ramirez
• Linda Ramirez, LCSW
• Patricia Ramirez
• Emma Ranft, LPC
• Morgan Ransom, LCSW
• Jessica Razer
• Reality Based Services
• Realize Behavioral Health, LLC

• Counselor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.