Active NPI
Nicole J Joseph
- Professional Counselor
- Pocatello, ID
National Provider Identifier
1871268086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-5326
- Practice address
- 1219 Yellowstone Ave
Pocatello, ID 83201-4368 - Phone
- (208) 339-0909
- NPI assigned
- Aug 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-5326 | ID | Primary |
Addresses
Primary practice location
1219 Yellowstone Ave
Pocatello, ID 83201-4368
Mailing address
412 Vista Dr
Pocatello, ID 83201-5086
Phone (208) 220-1444
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 |
|---|---|---|---|
| LPC-5326 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1871268086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 VISTA DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015086",
"telephone_number": "208-220-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 YELLOWSTONE AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014368",
"telephone_number": "208-339-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "NICOLE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-5326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.