NPIMap

Organization Active NPI

Gerdes Counseling

  • Mental Health Counselor
  • Payette, ID
National Provider Identifier
1740646561
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6130 Issued in ID
Legal business name
GERDES COUNSELING
Practice address
715 Hughes Dr
Payette, ID 83661-3037
Phone
(208) 291-0005
NPI assigned
Jan 8, 2016
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Pamela J Gerdes, LPC
Title
Counselor
Phone
(208) 291-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6130 ID Primary

Addresses

Primary practice location

715 Hughes Dr
Payette, ID 83661-3037

Mailing address

715 Hughes Dr
Payette, ID 83661-3037
Phone (208) 291-0005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1740646561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HUGHES DR",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613037",
            "telephone_number": "208-291-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HUGHES DR",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836613037",
            "telephone_number": "208-291-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERDES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "208-291-0005",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.