Community Outreach Counseling

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY OUTREACH COUNSELING

Practice address

1406 N Main St
Ste 103
Meridian, ID 83642-1795

Phone

(208) 888-6123

Fax

(208) 888-6482

NPI assigned

Sep 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula Suzette Marcotte, LMSW

Title

Owner/Administrator

Phone

(208) 695-1257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629177118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N MAIN ST",
            "address_2": "STE 103",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421795",
            "telephone_number": "208-888-6123",
            "fax_number": "208-888-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N MAIN ST",
            "address_2": "STE 103",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421795",
            "telephone_number": "208-888-6123",
            "fax_number": "208-888-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-695-1257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.