Individual provider Active NPI

Anna James Krzemieniecki, LCPC, NCC , MS

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1821574294
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-6996 Issued in ID
Practice address
1504 N Main St
Meridian, ID 83642-1707
Phone
(509) 312-9902
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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-6996 ID Primary

Addresses

Primary practice location

1504 N Main St
Meridian, ID 83642-1707

Mailing address

1406 N Main St Ste 203
Meridian, ID 83642-1746
Phone (509) 312-9902

Other names 1

  • Anna James Krzemieniecki Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-6996IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1821574294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N MAIN ST STE 203",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421746",
            "telephone_number": "509-312-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421707",
            "telephone_number": "509-312-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES KRZEMIENIECKI",
        "first_name": "ANNA",
        "credential": "LCPC, NCC , MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JAMES KRZEMIENIECKI",
            "credential": "ANNA JAMES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.