Organization Active NPI

Preston Counseling

  • Community/Behavioral Health Agency
  • Preston, ID
National Provider Identifier
1508200783
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMFT 3111 Issued in ID
Legal business name
PRESTON COUNSELING
Practice address
15 E Oneida St
Preston, ID 83263-1351
Phone
(208) 852-2407
Fax
(877) 650-7823
NPI assigned
Apr 18, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Tim S Mitchell, PH.D.
Title
Director
Phone
(208) 852-2407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMFT 3111 ID Primary

Addresses

Primary practice location

15 E Oneida St
Preston, ID 83263-1351

Mailing address

PO Box 95
Preston, ID 83263-0095
Phone (208) 852-2407

National Provider Directory

National Provider Directory

Locations

15 E Oneida St
Preston, ID 83263
Phone (208) 852-2407

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1508200783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832630095",
            "telephone_number": "208-852-2407",
            "fax_number": "877-650-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E ONEIDA ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631351",
            "telephone_number": "208-852-2407",
            "fax_number": "877-650-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-852-2407",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LMFT 3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.