Individual provider Active NPI

Treva Rae Rawlings, LPC

  • Mental Health Counselor
  • Bonners Ferry, ID
National Provider Identifier
1831488030
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-4714 Issued in ID
Practice address
7174 Main St.
Suite a
Bonners Ferry, ID 83805-8740
Phone
(208) 267-0936
Fax
(208) 267-0936
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 LCPC-4714 ID Primary

Addresses

Primary practice location

7174 Main St.
Suite a
Bonners Ferry, ID 83805-8740

Mailing address

PO Box 1235
7174 Main St. Suite a
Bonners Ferry, ID 83805-8740
Phone (208) 946-1386

Other identifiers 1

IdentifierTypeStateIssuer
LCPC-4714OtherIDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417003000 ID Practitioner - Mental Health Counselor 0749414688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Rawlings Community CounselingGroup PAC ID 8820222086, 4 clinicians

Practice addresses (Care Compare)

6807 Cody St
Bonners Ferry, ID 83805-8613
Phone (208) 267-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-4714IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rawlings Community Counseling Mental Health CurrentSince Apr 3, 2024 Accepting new patients
Rawlings Community Counseling Past Accepting new patients
Rawlings Community Counseling Past Accepting new patients

Locations

6807 Cody St
Bonners Ferry, ID 83805
Phone (208) 267-0900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1831488030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "address_2": "7174 MAIN ST. SUITE A",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058740",
            "telephone_number": "208-946-1386",
            "fax_number": "208-267-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7174 MAIN ST.",
            "address_2": "SUITE A",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058740",
            "telephone_number": "208-267-0936",
            "fax_number": "208-267-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "TREVA",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCPC-4714",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.