NPIMap

Organization Active NPI

Sunray Family Counseling

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1780003277
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-33365 Issued in ID
Legal business name
SUNRAY FAMILY COUNSELING
Practice address
301 N 1St Ave Ste 203
Sandpoint, ID 83864-1458
Phone
(208) 502-0285
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Rachel Liebing Allen, LCSWNPI 1073825402
Title
Manager
Phone
(801) 885-0557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW-33365 ID Primary

Addresses

Primary practice location

301 N 1St Ave Ste 203
Sandpoint, ID 83864-1458

Mailing address

517447 Highway 95
Bonners Ferry, ID 83805-5980
Phone (801) 885-0557

National Provider Directory

National Provider Directory

Locations

301 N 1st Ave
Ste 203
Sandpoint, ID 83864
Phone (208) 502-0285

Practitioners & affiliated clinicians

Practitioners 1

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": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1780003277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517447 HIGHWAY 95",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055980",
            "telephone_number": "801-885-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 1ST AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641458",
            "telephone_number": "208-502-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRAY FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LIEBING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-885-0557",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-33365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.