Individual provider Active NPI

Andrea Kaye Rice, LPC

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1669956686
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-7054 Issued in ID
Practice address
1809 E Sherman Ave
Coeur D Alene, ID 83814-5873
Phone
(208) 665-9612
Fax
(208) 635-0473
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-7054 ID Primary

Addresses

Primary practice location

1809 E Sherman Ave
Coeur D Alene, ID 83814-5873

Mailing address

1809 E Sherman Ave
Coeur D Alene, ID 83814-5873
Phone (208) 665-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213001429 ID Practitioner - Mental Health Counselor 3577906916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hub LLCGroup PAC ID 4385089135, 3 clinicians

Practice addresses (Care Compare)

8677 N Wayne Dr
Suite B
Hayden, ID 83835-5190
Phone (208) 762-3475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-7054IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hub LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

8677 N Wayne Dr
Ste B
Hayden, ID 83835
Phone (208) 625-3475

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1669956686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145873",
            "telephone_number": "208-665-9612",
            "fax_number": "208-635-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145873",
            "telephone_number": "208-665-9612",
            "fax_number": "208-635-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "ANDREA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.