Emily K Flint, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-9563 Issued in ID

Practice address

5230 W Moonlight Mine Rd
Pocatello, ID 83201-9013

Phone

(208) 505-9990

NPI assigned

Jun 9, 2023

Last updated

Jun 9, 2023By the provider in NPPES

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

Practice roles

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.

• Moonlight Mountain Recovery, Inc

  dba Anxiety & Depression Centers

  • Substance Abuse Rehabilitation Facility
  • Pocatello, ID
  • NPI 1861983413
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1831873975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 W SOLUNA DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837098010",
            "telephone_number": "208-871-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 W MOONLIGHT MINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832019013",
            "telephone_number": "208-505-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-9563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitness Inc.
• Aidan Fitzgerald
• Madeline P Flake, LCSW
• Michael R Flandro, OD
• Zuzana Fletcher, FNP
• Rachel Fluckiger
• Kaelyn Fogerty
• Lisa Foley, LCSW
• Michael P Foley, PT
• Stephanie Dianne Follett, FNP-C

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, 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 Jun 9, 2023; 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.