Individual provider Active NPI

Janice Lee Titherley, LMFT

  • Marriage & Family Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1699806745
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-7611 Issued in ID
Practice address
Radiant Christian Counseling
2101 N Lakewood Drive, Suite 222
Coeur D'Alene, ID 83814
Phone
(208) 274-3320
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 32486 CA
Marriage & Family Therapist 106H00000X LMFT-7611 ID Primary

Addresses

Primary practice location

Radiant Christian Counseling
2101 N Lakewood Drive, Suite 222
Coeur D'Alene, ID 83814

Mailing address

2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473
Phone (208) 274-3320

Other identifiers 2

IdentifierTypeStateIssuer
32486OtherCALMFT
LMFT-7611OtherIDLMFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 28, 2024 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT-7611IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Christian Counseling, LLC Marriage & Family Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

2101 N Lakewood Dr
Ste 222
Coeur D Alene, ID 83814
Phone (208) 274-3320

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1699806745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N LAKEWOOD DR STE 222",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142473",
            "telephone_number": "208-274-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADIANT CHRISTIAN COUNSELING",
            "address_2": "2101 N LAKEWOOD DRIVE, SUITE 222",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-274-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITHERLEY",
        "first_name": "JANICE",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32486",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "32486",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "LMFT-7611",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.