Individual provider Active NPI

Colleen Patterson

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1770250201
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-7787 Issued in ID
Practice address
1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114
Phone
(208) 930-1740
Fax
(208) 930-1695
NPI assigned
Aug 24, 2021
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-7787 ID Primary

Addresses

Primary practice location

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Mailing address

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114
Phone (727) 800-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103004816 ID Practitioner - Mental Health Counselor 0648621672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambitions of Idaho IncGroup PAC ID 6305121328, 7 clinicians

Practice addresses (Care Compare)

1044 Northwest Blvd
Suite C
Coeur D Alene, ID 83814-2114
Phone (208) 930-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ambitions of Idaho, Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Ambitions of Idaho, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1038 Northwest Blvd
#100
Coeur D Alene, ID 83814
Phone (208) 755-9512

1044 Northwest Blvd
Ste C
Coeur D Alene, ID 83814
Phone (208) 667-7777

1044 Northwest Blvd
Ste F
Coeur D Alene, ID 83814
Phone (208) 676-9385

Organizations & group practices 2

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1770250201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142114",
            "telephone_number": "727-800-2332",
            "fax_number": "727-800-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142114",
            "telephone_number": "208-930-1740",
            "fax_number": "208-930-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.