NPIMap

Organization Active NPI

Riverplace Counseling & Wellness

  • Mental Health Counselor
  • Lewiston, ID
National Provider Identifier
1679085823
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RIVERPLACE COUNSELING & WELLNESS
Practice address
312 Miller St
Lewiston, ID 83501-1944
Phone
(208) 750-1802
Fax
(208) 750-1803
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Mrs. Ingrid S. Blinn, LCPC
Title
Business Owner/Counselor
Phone
(208) 750-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

312 Miller St
Lewiston, ID 83501-1944

Mailing address

312 Miller St
Lewiston, ID 83501-1944
Phone (208) 750-1802

National Provider Directory

National Provider Directory
Tax ID family
Riverplace Counseling Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1679085823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MILLER ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011944",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MILLER ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011944",
            "telephone_number": "208-750-1802",
            "fax_number": "208-750-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPLACE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "BLINN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS OWNER/COUNSELOR",
        "authorized_official_telephone_number": "208-750-1802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 27, 2017; 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.