Individual provider Active NPI

Joshua James Ericson, CPRC-S

  • Health & Wellness Coach
  • Coeur d'Alene, ID
National Provider Identifier
1740117977
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
13022 Issued in ID
Practice address
129 E Poplar Ave
Coeur D Alene, ID 83814-3435
Phone
(208) 819-6122
Fax
(866) 605-2375
NPI assigned
May 4, 2026
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 13022 ID Primary

Addresses

Primary practice location

129 E Poplar Ave
Coeur D Alene, ID 83814-3435

Mailing address

1464 N Luna St
Post Falls, ID 83854-3804
Phone (208) 416-1134

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

LicenseStateTypeSpecialty
13022IDMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Recovery Services PLLC Current Accepting new patients

Locations

129 E Poplar Ave
Coeur D Alene, ID 83814
Phone (208) 819-6122

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": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1740117977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 N LUNA ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838543804",
            "telephone_number": "208-416-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E POPLAR AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143435",
            "telephone_number": "208-819-6122",
            "fax_number": "866-605-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "credential": "CPRC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "ID",
            "license": "13022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.