Individual provider Active NPI

Ashlie Gail Unruh, LCPC

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1881949089
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-4964 Issued in ID
Practice address
923 E Sherman Ave
Suite 200
Coeur D Alene, ID 83814-4938
Phone
(208) 953-1403
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-4964 ID Primary

Addresses

Primary practice location

923 E Sherman Ave
Suite 200
Coeur D Alene, ID 83814-4938

Mailing address

6245 N Cezanne Dr
Coeur D Alene, ID 83815-9132
Phone (208) 953-1403

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

LicenseStateTypeSpecialty
LCPC-4964IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling of Coeur D'Alene Current Accepting new patients

Organizations & group practices 1

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1881949089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N CEZANNE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159132",
            "telephone_number": "208-953-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 E SHERMAN AVE",
            "address_2": "SUITE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144938",
            "telephone_number": "208-953-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "ASHLIE",
        "middle_name": "GAIL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.