Active NPI
Nicole Marie Presher, MS, LCPC
- Counselor
- Caldwell, ID
National Provider Identifier
1609306695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC-7545
- Practice address
- 714 Main St Ste 206
Caldwell, ID 83605-3744 - Phone
- (208) 477-8217
- NPI assigned
- Jun 13, 2017
- Last updated
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-6487 | ID | |
| Counselor | 101Y00000X | LCPC-7545 | ID | Primary |
Addresses
Primary practice location
714 Main St Ste 206
Caldwell, ID 83605-3744
Mailing address
12955 Sondra St
Caldwell, ID 83607-4515
Phone (907) 952-7621
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-7545 | ID | MD | Counselor |
| LPC-6487 | ID | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ametrine Counseling and Wellness, LLP | Counselor | Current | Accepting new patients |
Locations
714 Main St
Ste 206
Caldwell, ID 83605
Phone (208) 477-8217
Organizations & group practices 1
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.
-
- Counselor
- Caldwell, ID
- NPI 1124728688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1609306695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12955 SONDRA ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836074515",
"telephone_number": "907-952-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 MAIN ST STE 206",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836053744",
"telephone_number": "208-477-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESHER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MS, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-6487",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC-7545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.