Brevity Treatment Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-3663 Issued in ID

Legal business name

BREVITY TREATMENT SERVICES

Practice address

1809 E Sherman Ave
Coeur D Alene, ID 83814-5873

Phone

(208) 680-9042

Fax

(877) 471-2556

NPI assigned

Sep 14, 2017

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Bosch, LCPC, MAC, QSUDPNPI 1932483260

Title

Owner/Clinician

Phone

(509) 609-7550

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Rebecca Bosch, LCPC, QP, NCC, CRC

  • Professional Counselor
  • Coeur d'Alene, ID
  • NPI 1932483260

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1881113413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145873",
            "telephone_number": "208-680-9042",
            "fax_number": "877-471-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E SHERMAN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145873",
            "telephone_number": "208-680-9042",
            "fax_number": "877-471-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVITY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "509-609-7550",
        "authorized_official_credential": "LCPC, MAC, QSUDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "MAC",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3663",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.