Davina Gjennestad

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-6907 Issued in ID

Practice address

264 Main Ave S
Twin Falls, ID 83301-6232

Phone

(208) 734-0407

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achieve Wellness Counseling Services LLC

  • Professional Counselor
  • Auburn, AL
  • NPI 1215650858
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1902396153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BLUE LAKES BLVD N APT 1",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014876",
            "telephone_number": "334-750-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 MAIN AVE S",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016232",
            "telephone_number": "208-734-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Main Ave E.",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "83301",
            "country_code": "US",
            "telephone_number": "208-734-0407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Shoup Ave W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015029",
            "country_code": "US",
            "telephone_number": "208-772-7825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2223 Overland Ave",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833182929",
            "country_code": "US",
            "telephone_number": "208-878-3423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 University Ave E",
            "address_purpose": "LOCATION",
            "city": "Gooding",
            "state": "ID",
            "postal_code": "833306155",
            "country_code": "US",
            "telephone_number": "208-934-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJENNESTAD",
        "first_name": "DAVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Gill, FNP-BC
• Cara Gill, M.S., CCC-SLP
• Dennis Gillette, PT
• Kamara L Gillette, MS, CCC-SLP
• Whitney D Ginder, LCSW
• Glade Mental Health PLLC
• Zachary Aaron Glaser, M.D.
• Larry B Glassett, RPH
• GN Hearing Care Corp
• Richard Gneiting, PHARMD

• Professional Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.