Active NPI
Jennifer Pike
- Professional Counselor
- Coeur D Alene, ID
National Provider Identifier
1851810592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-8250
- Practice address
- 1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682 - Phone
- (312) 798-9715
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-8250 | ID | Primary |
| Professional Counselor | 101YP2500X | LPC-6813 | ID |
Addresses
Primary practice location
1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682
Mailing address
1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682
Phone (312) 798-9715
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-8250 | ID | MD | Professional Counselor |
| LPC-6813 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1851810592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 330",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "312-798-9715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W IRONWOOD DR STE 330",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142682",
"telephone_number": "312-798-9715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-8250",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-6813",
"primary": false
}
],
"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 Jul 8, 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.