Pacific Wellness LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PACIFIC WELLNESS LLC

Practice address

13403 N Government Way Unit 314
Hayden, ID 83835-8903

Phone

(208) 261-2028

NPI assigned

Aug 5, 2020

Last updated

Oct 29, 2021By 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

Robin HappenyNPI 1841800703

Title

Owner

Phone

(208) 261-2028

Specialties & licenses 1

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.

• Robin Happeny, LCSW

  • Clinical Social Worker
  • Hayden, ID
  • NPI 1841800703
  NPD Authorized official

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1881204741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY UNIT 314",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358903",
            "telephone_number": "208-261-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY UNIT 314",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358903",
            "telephone_number": "208-261-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 W Ironwood Dr Ste D-2040",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838141403",
            "country_code": "US",
            "telephone_number": "208-261-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HAPPENY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-261-2028"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Kathleen Orchard
• Brian K Orchard, LCSW
• Orthopedic Surgery and Sports (Orthopedic Physical Therapy Institute)
• Overland Wellness PLLC (Dauntless Outdoor)
• Heather L. Overland, NMD, LAC
• Ashlynn Kaye Padmore, SOCIAL WORKER
• Jennifer G Palmer, FNP
• Panhandle Health District
• Simone Paras, LMT
• Nicole Marie Parquette, PA-C

• Social Worker in Hayden, ID
• Providers in Hayden, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.