Organization Active NPI

Paradise Creek Counseling and Consulting

  • Professional Counselor
  • Moscow, ID
National Provider Identifier
1730466616
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PARADISE CREEK COUNSELING AND CONSULTING
Practice address
325 W 3Rd St
Moscow, ID 83843-2204
Phone
(208) 882-2566
NPI assigned
Nov 7, 2011
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Dan Bayly
Title
Co-Manager
Phone
(208) 596-2542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

325 W 3Rd St
Moscow, ID 83843-2204

Mailing address

325 W 3Rd St
Moscow, ID 83843-2204
Phone (208) 882-2566

National Provider Directory

National Provider Directory

Locations

619 S Washington St
Ste 301
Moscow, ID 83843
Phone (208) 882-9200

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1730466616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 3RD ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432204",
            "telephone_number": "208-882-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 3RD ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432204",
            "telephone_number": "208-882-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CREEK COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BAYLY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "208-596-2542",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.