Individual provider Active NPI

Duann Celine Chambers

  • Marriage & Family Therapist
  • Sandpoint, ID
National Provider Identifier
1861166696
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-8311 Issued in ID
Practice address
514 N 4TH Ave
Sandpoint, ID 83864-1513
Phone
(208) 263-5393
Fax
(208) 265-2301
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-8311 ID Primary

Addresses

Primary practice location

514 N 4TH Ave
Sandpoint, ID 83864-1513

Mailing address

514 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (208) 263-5393

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240113000029 ID Practitioner - Marriage and Family Therapist 7416309513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Wellness and Relationship Services LLCGroup PAC ID 5092106443, 8 clinicians

Practice addresses (Care Compare)

1110 W Park PL
Suite 303
Coeur D Alene, ID 83814-2784
Phone (208) 261-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-8311IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections and Canine-Assisted Therapy Marriage & Family Therapist Current Accepting new patients
Mental Wellness and Relationship Services LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1110 W Park Pl
Ste 303
Coeur D Alene, ID 83814
Phone (208) 261-2255

30410 Highway 200
Ste 200B
Ponderay, ID 83852

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861166696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N 4TH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641513",
            "telephone_number": "208-263-5393",
            "fax_number": "208-265-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N 4TH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641513",
            "telephone_number": "208-263-5393",
            "fax_number": "208-265-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DUANN",
        "middle_name": "CELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.