K M Haycraft LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

K M HAYCRAFT LLC

Practice address

250 Northwest Blvd Ste 107a
Coeur D Alene, ID 83814-2971

Phone

(208) 610-3561

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Clint Perkins

Title

Office Manager

Phone

(971) 218-4577

Specialties & licenses 1

Addresses

Other names 1

• Aspire Counseling and Wellness Doing business as

Locations

Practitioners 2

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

• Kaela Haycraft, M.ED, LPC

  • Professional Counselor
  • Coeur D Alene, ID
  • NPI 1922451343
  NPD (past)
• Kari Threadgill, MA, LMHCA, LPC, CMHS

  • Mental Health Counselor
  • Coeur D Alene, ID
  • NPI 1972042299
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689196610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 107A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142971",
            "telephone_number": "208-610-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 107A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142971",
            "telephone_number": "208-610-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K M HAYCRAFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "971-218-4577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brieanna Lee Jung, PA-C
• Jwstokes Consulting LTD.
• K Watts Dental PLLC
• Lisa R Kailey, MSN, APRN, FNP-BC
• Amanda K Kampf, RN, BSN
• Eugene Kang, M.D.
• Julia Kanwischer

• Professional Counselor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.