Active NPI
Connie S Powers, LMSW
- Mental Health Counselor
- Mountain Home, ID
National Provider Identifier
1699328591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-26021
- Practice address
- 2280 American Legion Blvd
Mountain Home, ID 83647-3142 - Phone
- (208) 587-3988
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-26021 | ID | Primary |
Addresses
Primary practice location
2280 American Legion Blvd
Mountain Home, ID 83647-3142
Mailing address
2280 American Legion Blvd
Mountain Home, ID 83647-3142
Phone (208) 587-3988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-26021 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1699328591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 AMERICAN LEGION BLVD",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836473142",
"telephone_number": "208-587-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 AMERICAN LEGION BLVD",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836473142",
"telephone_number": "208-587-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "CONNIE",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-26021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.