Jacqueline Gedeik, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-2829 Issued in ID

Practice address

1110 E Polston Ave
Suite 4 Journey to Wellness Counseling
Post Falls, ID 83854-6409

Phone

(208) 699-6756

Fax

(208) 457-1202

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801969548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 E HAYDEN LAKE RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358560",
            "telephone_number": "208-714-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E POLSTON AVE",
            "address_2": "SUITE 4 JOURNEY TO WELLNESS COUNSELING",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546409",
            "telephone_number": "208-699-6756",
            "fax_number": "208-457-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDEIK",
        "first_name": "JACQUELINE",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.