Active NPI
Aspire365 Idaho LLC
- Addiction Medicine (Preventive Medicine) Physician
- Coeur D Alene, ID
National Provider Identifier
1801720404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- ASPIRE365 IDAHO LLC
- Practice address
- 311 E Coeur D Alene Ave Ste E
Coeur D Alene, ID 83814-4965 - Phone
- (385) 352-9696
- NPI assigned
- Jun 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary Jenson
- Title
- Ceo
- Phone
- (385) 352-9696
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
311 E Coeur D Alene Ave Ste E
Coeur D Alene, ID 83814-4965
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Phone (385) 352-9746
National Provider Directory
National Provider DirectoryLocations
311 E Coeur D Alene Ave
Ste E
Coeur D Alene, ID 83814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1801720404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 S 150 E STE 320",
"city": "SANDY",
"state": "UT",
"postal_code": "840702707",
"telephone_number": "385-352-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E COEUR D ALENE AVE STE E",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144965",
"telephone_number": "385-352-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE365 IDAHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "385-352-9696"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 9, 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.