Cda Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CDA COUNSELING SERVICES

Practice address

5920 N Government Way Ste 4
Dalton Gardens, ID 83815-9200

Phone

(509) 989-4935

Fax

(208) 601-6162

NPI assigned

Sep 3, 2024

Last updated

Nov 22, 2024By 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

Mr. Brad Richard Smedley, LMFTNPI 1356726145

Title

Owner/Operator

Phone

(509) 989-4935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad Richard Smedley, LMFT

  • Marriage & Family Therapist
  • Dalton Gardens, ID
  • NPI 1356726145

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1659106441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 N SCOTCH PINE LN APT 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838151899",
            "telephone_number": "509-989-4935",
            "fax_number": "208-601-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 N GOVERNMENT WAY STE 4",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159200",
            "telephone_number": "509-989-4935",
            "fax_number": "208-601-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "509-989-4935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.