NPIMap

Organization Active NPI

Christy Kelshaw

  • Professional Counselor
  • Pocatello, ID
National Provider Identifier
1871654798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-2812 Issued in ID
Legal business name
CHRISTY KELSHAW
Practice address
845 W Center St
Suite C
Pocatello, ID 83204-4205
Phone
(208) 478-4642
Fax
(208) 232-8001
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christy Kelshaw, MACOUN, LCPC
Title
Counselor
Phone
(208) 478-4642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-2812 ID Primary

Addresses

Primary practice location

845 W Center St
Suite C
Pocatello, ID 83204-4205

Mailing address

845 W Center St
Suite C
Pocatello, ID 83204-4205
Phone (208) 478-4642

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871654798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST",
            "address_2": "SUITE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-478-4642",
            "fax_number": "208-232-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST",
            "address_2": "SUITE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-478-4642",
            "fax_number": "208-232-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY KELSHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELSHAW",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "208-478-4642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MACOUN, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-2812",
            "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 22, 2020; 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.