Redefined Counseling and Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REDEFINED COUNSELING AND CONSULTING

Practice address

128 N Washington Ave
Emmett, ID 83617-2973

Phone

(208) 817-1029

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie K Smith, LCSWNPI 1770076481

Title

Owner

Phone

(208) 817-1029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

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

• Stephanie Kay Smith, LCSW

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1770076481
  Medicare reassignment NPD Authorized official
• Daniel Michael Pewe, DC

  • Chiropractor
  • Emmett, ID
  • NPI 1922012954
  NPD (past)

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1710745427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836170574",
            "telephone_number": "208-817-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172973",
            "telephone_number": "208-817-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINED COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-817-1029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Anne Phillips, FNP-BC
• Kathryn Margaret Phillips, DPT
• Kirk D Prodzinski, DO
• Sheila Ann Pulley, CPHT
• Patty Ann Puschmann, BI
• Marjorie Colleen Reed, IS
• Desiree Darlene Reid, PA-C
• Kirk Robbins
• Derek L Rodigo
• Kimberly M Roller

• Mental Health Clinic/Center (Including Community Mental Health Center) in Emmett, ID
• Providers in Emmett, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.