Active NPI
Donna Marie Emfield, LPC3379
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1629102264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC3379
- Practice address
- 1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375 - Phone
- (208) 529-8832
- Fax
- (208) 522-8725
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC3379 | ID | Primary |
Addresses
Primary practice location
1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375
Mailing address
1740 E 17TH St Ste B
Idaho Falls, ID 83404-6375
Phone (208) 529-8832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X6638 | Other | ID | BLUE CROSS OF IDAHO |
| 000010150063 | Other | ID | BLUE SHIELD OF IDAHO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC3379 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629102264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 E 17TH ST STE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046375",
"telephone_number": "208-529-8832",
"fax_number": "208-522-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 E 17TH ST STE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046375",
"telephone_number": "208-529-8832",
"fax_number": "208-522-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMFIELD",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "LPC3379",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC3379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "X6638",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010150063",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
- Emergency Orthopedic Services of Idaho PLLC
- Brenda Emery, CPRP
- Taylor Emery, AGACNP-BC
- William D Emery
- Adam Gary Emfield, BS
- Lyndi Michelle Emfield, LAMFT
- Empower PT, PLLC
- Empowered Living Solutions
- Empowering Human Services, LLC.
- Empres at Idaho Falls, LLC (Teton Post Acute Care and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.