Casey L Cinkovich, LCPC
Individual provider Active NPI Mental Health Counselor · Coeur D Alene, ID
NPI 1699142158 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1699142158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3700 W Seltice Way
Coeur D Alene, ID 83814-8921 - Phone
- (208) 620-5250
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dirne Health Centers Inc
Practice addresses (Care Compare)
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone (208) 620-5255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250429003577 | ID | Practitioner - Mental Health Counselor | 6608228275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-6865 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dirne Health Centers, Inc. | Professional | Current | Accepting new patients |
| Dirne Health Centers Inc | Mental Health | Past |
Accepting new patients |
Locations
1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005
740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267
925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787
16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627
120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363
Interoperability endpoints
- casey.cinkovich.1@16899.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-6865 | ID | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-5857 | Other | ID | ID STATE LICENSE |
Other providers in Coeur D Alene, ID
- Chrysalis Inc
- Chrysalis, Inc.
- Steven Emmet Ciabattoni
- Katlin May Cicchetti
- Cinch Health PLLC
- Angela Ruth Clancy
- Roy Lavern Clapper
- Emalie Clark
- Hatta Laura Clark
- John Harrison Clark
All providers in Coeur D Alene, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.