Individual provider Active NPI

Rachel Reid, M.A.

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1679959522
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-7639 Issued in ID
Practice address
410 E Sherman Ave Ste 201
Coeur D Alene, ID 83814-2761
Phone
(208) 661-4667
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60799069 WA
Mental Health Counselor 101YM0800X MC60673276 WA
Mental Health Counselor 101YM0800X LPC-7639 ID Primary

Addresses

Primary practice location

410 E Sherman Ave Ste 201
Coeur D Alene, ID 83814-2761

Mailing address

410 E Sherman Ave Ste 201
Coeur D Alene, ID 83814-2761
Phone (208) 661-4667

Other practice location 1

31640 State Route 20
Ste 1
Oak Harbor, WA 98277-3128
Phone (360) 679-7676

Other practice location 2

406 S 1st St Ste 303
Mount Vernon, WA 98273-3897
Phone (360) 982-1316

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-7639IDMDMental Health Counselor
LH60799069WAMDMental Health Counselor
MC60673276WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1679959522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E SHERMAN AVE STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142761",
            "telephone_number": "208-661-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E SHERMAN AVE STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142761",
            "telephone_number": "208-661-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31640 State Route 20",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982773128",
            "country_code": "US",
            "telephone_number": "360-679-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 S 1st St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982733897",
            "country_code": "US",
            "telephone_number": "360-982-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "RACHEL",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60799069",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60673276",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.