NPIMap

Organization Active NPI

Riverside Counseling, Inc

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1699110353
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC3277 Issued in ID
Legal business name
RIVERSIDE COUNSELING, INC
Practice address
408 E Montana Ave
Coeur D Alene, ID 83814-3051
Phone
(208) 667-3515
Fax
(208) 667-1304
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Blake Poe, LCPCNPI 1952399339
Title
President
Phone
(208) 667-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LCPC3277 ID Primary

Addresses

Primary practice location

408 E Montana Ave
Coeur D Alene, ID 83814-3051

Mailing address

408 E Montana Ave
Coeur D Alene, ID 83814-3051
Phone (208) 667-3515

National Provider Directory

National Provider Directory

Locations

408 E Montana Ave
Coeur D Alene, ID 83814
Phone (208) 667-3515

Practitioners & affiliated clinicians

Practitioners 1

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": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1699110353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E MONTANA AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143051",
            "telephone_number": "208-667-3515",
            "fax_number": "208-667-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E MONTANA AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143051",
            "telephone_number": "208-667-3515",
            "fax_number": "208-667-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-667-3515",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC3277",
            "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 May 7, 2013; 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.