Individual provider Active NPI

Ashely Wells Notestine, LCPC 7410

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1568834240
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC7410 Issued in ID
Practice address
122 E Poplar Ave
Coeur D Alene, ID 83814-3436
Phone
(208) 717-1208
NPI assigned
Oct 21, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC7410 ID Primary

Addresses

Primary practice location

122 E Poplar Ave
Coeur D Alene, ID 83814-3436

Mailing address

122 E Poplar Ave
Coeur D Alene, ID 83814-3436
Phone (208) 717-1208

Other practice location 1

2655 Marceille Dr
Coeur D Alene, ID 83815-5065
Phone (208) 717-1208

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
LCPC7410IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568834240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E POPLAR AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143436",
            "telephone_number": "208-717-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E POPLAR AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143436",
            "telephone_number": "208-717-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Marceille Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838155065",
            "country_code": "US",
            "telephone_number": "208-717-1208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTESTINE",
        "first_name": "ASHELY",
        "middle_name": "WELLS",
        "name_prefix": "Mrs.",
        "credential": "LCPC 7410",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC7410",
            "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 Jul 21, 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.