Up North Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UP NORTH COUNSELING LLC

Practice address

2101 N Lakewood Dr Ste 225
Coeur D Alene, ID 83814-2473

Phone

(208) 984-0989

Fax

(208) 601-6133

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 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

Emily Stadstad, LMFTNPI 1396377586

Title

Owner

Phone

(208) 984-0989

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Emily Lee Stadstad, MA, LMFT

  • Marriage & Family Therapist
  • Coeur d'Alene, ID
  • NPI 1396377586
  NPD Authorized official
• Sheyenne Shamburg

  • Student in an Organized Health Care Education/Training Program
  • Coeur d'Alene, ID
  • NPI 1760201156
  NPD

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1659192292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 225",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473",
            "telephone_number": "208-984-0989",
            "fax_number": "208-601-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 225",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473",
            "telephone_number": "208-984-0989",
            "fax_number": "208-601-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "STADSTAD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-984-0989",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unlimited Possibilities ABA, LLC
• Ashlie Gail Unruh, LCPC
• Brent Unruh
• Michael Don Unruh, LCPC
• Michele Jean Unsworth, LCPC
• Shira Urias, LCSW
• Delanie Urrutia
• Zachary Uttinger, PMHNP
• Emily Valiquette
• Erika Valtinson, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.