Individual provider Active NPI

Rosalie Nadine Johnston, LCPC

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1851619639
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-3943 Issued in ID
Practice address
950 W Ironwood Dr
Ste #2
Coeur D Alene, ID 83814-2644
Phone
(208) 664-1594
Fax
(208) 664-5867
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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-3943 ID Primary

Addresses

Primary practice location

950 W Ironwood Dr
Ste #2
Coeur D Alene, ID 83814-2644

Mailing address

950 W Ironwood Dr
Ste#2
Coeur D Alene, ID 83814-2644
Phone (208) 664-1594

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

State licenses

LicenseStateTypeSpecialty
LCPC-3943IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Enhancement Center of Idaho Inc. Past Accepting new patients
Wellness Enhancement Center LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1851619639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W IRONWOOD DR",
            "address_2": "STE#2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142644",
            "telephone_number": "208-664-1594",
            "fax_number": "208-664-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W IRONWOOD DR",
            "address_2": "STE #2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142644",
            "telephone_number": "208-664-1594",
            "fax_number": "208-664-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROSALIE",
        "middle_name": "NADINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.