Individual provider Active NPI

Muna Crook

  • Counselor
  • Lewiston, ID
National Provider Identifier
1649683376
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-2908 Issued in ID
Practice address
504 Main St
Suite 444
Lewiston, ID 83501-1803
Phone
(208) 750-3000
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-2908 ID Primary
Marriage & Family Therapist 106H00000X LF-60140407 WA
Massage Therapist 225700000X MA-00024354 WA

Addresses

Primary practice location

504 Main St
Suite 444
Lewiston, ID 83501-1803

Mailing address

504 Main St
Suite 444
Lewiston, ID 83501-1803
Phone (208) 750-3000

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
LPC-2908IDMDCounselor
LF-60140407WAMDMarriage & Family Therapist
MA-00024354WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequel Alliance Family Services, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1649683376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "address_2": "SUITE 444",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011803",
            "telephone_number": "208-750-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "address_2": "SUITE 444",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011803",
            "telephone_number": "208-750-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "MUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-2908",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF-60140407",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA-00024354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.