Individual provider Active NPI

John Raymond Nelmar II, LPC

  • Professional Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1548783293
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6575 Issued in ID
Practice address
1022 N 4TH St Ste 101
Coeur D Alene, ID 83814-3100
Phone
(208) 704-2062
NPI assigned
Jul 24, 2017
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 6575 ID Primary

Addresses

Primary practice location

1022 N 4TH St Ste 101
Coeur D Alene, ID 83814-3100

Mailing address

4404 E Early Dawn Ave
Post Falls, ID 83854-7916
Phone (208) 704-2062

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
6575IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Wellness LLP Professional CurrentSince Dec 3, 2023 Accepting new patients
Insight Counseling & Therapy PastSince Oct 6, 2024 Accepting new patients

Locations

1022 N 4th St
Ste 101
Coeur D Alene, ID 83814
Phone (208) 457-2909

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1548783293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 E EARLY DAWN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547916",
            "telephone_number": "208-704-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N 4TH ST STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143100",
            "telephone_number": "208-704-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMAR",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.