Janet Frakes Poorman, CADC 1

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-7844 Issued in ID

Practice address

2205 N Ironwood PL Ste a
Coeur D Alene, ID 83814-2487

Phone

(208) 664-8347

Fax

(208) 664-9217

NPI assigned

Nov 1, 2019

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dirne Health Centers Inc

  dba Heritage Health

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1720564271

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1790329837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299",
            "fax_number": "208-625-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N IRONWOOD PL STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142487",
            "telephone_number": "208-664-8347",
            "fax_number": "208-664-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORMAN",
        "first_name": "JANET",
        "middle_name": "FRAKES",
        "credential": "CADC 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "5038794389",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US PASSPORT",
            "identifier": "489558269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Llolyn Pobran, DC, CHT
• Blake M Poe, LCPC
• Poignant Possibilities, LLC
• Pamela S Pomeroy, NP
• Travis Pool
• Roman K Poplawski, PH.D.
• Laura Popp
• Mackenzie Porter, WHNP-BC
• Porto Uniao, Inc (Pain Management Psychology)
• Mona Post

• Professional Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.