Individual provider Active NPI

William G Longpre

  • Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1568078285
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8331352 Issued in ID
Practice address
1801 N 3Rd St Ste 10
Coeur D Alene, ID 83814-3400
Phone
(208) 417-3216
Fax
(208) 601-6163
NPI assigned
Sep 17, 2020
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8331352 ID Primary

Addresses

Primary practice location

1801 N 3Rd St Ste 10
Coeur D Alene, ID 83814-3400

Mailing address

1801 N 3Rd St Ste 10
Coeur D Alene, ID 83814-3400
Phone (208) 417-3216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coeur D Mind Current Accepting new patients
Bigfoot Counseling, LLC PastSince Dec 1, 2022 Accepting new patients

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, 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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1568078285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N 3RD ST STE 10",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143400",
            "telephone_number": "208-417-3216",
            "fax_number": "208-601-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 3RD ST STE 10",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143400",
            "telephone_number": "208-417-3216",
            "fax_number": "208-601-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGPRE",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "8331352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.