Individual provider Active NPI

Vincent Marchese, NP-C, PMHNP-BC

  • Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1831847383
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71036 Issued in ID
Practice address
610 W Hubbard Ave Ste 124
Coeur D Alene, ID 83814-2286
Phone
(208) 777-2169
NPI assigned
Mar 14, 2022
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71036 ID Primary
Nurse Practitioner 363L00000X AP70080480 WA
Nurse Practitioner 363L00000X 95017527 CA

Addresses

Primary practice location

610 W Hubbard Ave Ste 124
Coeur D Alene, ID 83814-2286

Mailing address

610 W Hubbard Ave Ste 124
Coeur D Alene, ID 83814-2286
Phone (208) 777-2169

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129002054 ID Practitioner - Nurse Practitioner 9436507563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bigfoot Counseling, LLCGroup PAC ID 0143611079, 3 clinicians
Mind Matters LLCGroup PAC ID 5890106918, 5 clinicians

Practice addresses (Care Compare)

570 S Clearwater Loop
Suite B
Post Falls, ID 83854-5437
Phone (208) 777-2169

570 S Clearwater Loop B
Post Falls, ID 83854-5437

8382 N Wayne Dr
Suite 103B
Hayden, ID 83835-6028
Phone (208) 719-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017527CAMDNurse Practitioner
71036IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters LLC CurrentSince Oct 1, 2025 Accepting new patients
Bigfoot Counseling, LLC CurrentSince Nov 3, 2025 Accepting new patients
BHG Lxxxvii, LLC PastSince Jan 22, 2023 Accepting new patients

Locations

1875 N Lakewood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-3583

610 W Hubbard Ave
Ste 124
Coeur D Alene, ID 83814
Phone (208) 777-2169

8382 N Wayne Dr
Ste 103B
Hayden, ID 83835
Phone (208) 719-1030

570 S Clearwater Loop
Ste B
Post Falls, ID 83854
Phone (208) 777-2169

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1831847383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W HUBBARD AVE STE 124",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142286",
            "telephone_number": "208-777-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W HUBBARD AVE STE 124",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142286",
            "telephone_number": "208-777-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESE",
        "first_name": "VINCENT",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "71036",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP70080480",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.