Individual provider Active NPI

Athena Maria Scheidegger, M.COUN

  • Mental Health Counselor
  • Nampa, ID
National Provider Identifier
1902380983
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7070 Issued in ID
Practice address
112 9TH Ave S Ste B10
Nampa, ID 83651-3825
Phone
(208) 471-4975
Fax
(208) 318-5017
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 7070 ID Primary

Addresses

Primary practice location

112 9TH Ave S Ste B10
Nampa, ID 83651-3825

Mailing address

112 9TH Ave S Ste B10
Nampa, ID 83651-3825
Phone (208) 471-4975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7070IDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1902380983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 9TH AVE S STE B10",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513825",
            "telephone_number": "208-471-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 9TH AVE S STE B10",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513825",
            "telephone_number": "208-471-4975",
            "fax_number": "208-318-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDEGGER",
        "first_name": "ATHENA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.COUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.