Amy Christensen LCPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AMY CHRISTENSEN LCPC LLC

Practice address

454 Franklin Ave
Pocatello, ID 83201-3845

Phone

(208) 220-4581

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Amy Christensen, LCPCNPI 1912211020

Title

Owner

Phone

(208) 220-4581

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy M Christensen, LCPC, NCC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1912211020

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1831878727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4326",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054326",
            "telephone_number": "208-220-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FRANKLIN AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013845",
            "telephone_number": "208-220-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY CHRISTENSEN LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-220-4581",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.