NPIMap

Organization Active NPI

Abundant Wellness Center

  • Community/Behavioral Health Agency
  • Post Falls, ID
National Provider Identifier
1609010495
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMSW-29144 Issued in ID
Legal business name
ABUNDANT WELLNESS CENTER
Practice address
1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045
Phone
(208) 457-1540
Fax
(208) 457-1202
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Miss Elizabeth Knack, LMSW
Title
Mental Health Intake Specialist
Phone
(208) 457-1540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMSW-29144 ID Primary

Addresses

Primary practice location

1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045

Mailing address

1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045
Phone (208) 457-1540

National Provider Directory

National Provider Directory
Tax ID family
Abundant Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1609010495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E POLSTON AVE",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-457-1540",
            "fax_number": "208-457-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E POLSTON AVE",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-457-1540",
            "fax_number": "208-457-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "KNACK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MENTAL HEALTH INTAKE SPECIALIST",
        "authorized_official_telephone_number": "208-457-1540",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LMSW-29144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.