NPIMap

Organization Active NPI

Confluence Counseling and Education Center, LLC

  • Community/Behavioral Health Agency
  • Lewiston, ID
National Provider Identifier
1912059361
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1109 Issued in ID
Legal business name
CONFLUENCE COUNSELING AND EDUCATION CENTER, LLC
Practice address
111 Main St
Suite 302
Lewiston, ID 83501-2141
Phone
(208) 798-5132
Fax
(208) 798-5143
NPI assigned
Jan 17, 2007
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Ms. Lafawn M Hamm, LCSWNPI 1699966481
Title
Executive Director
Phone
(208) 798-5132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1109 ID Primary

Addresses

Primary practice location

111 Main St
Suite 302
Lewiston, ID 83501-2141

Mailing address

111 Main St
Suite 302
Lewiston, ID 83501-2141
Phone (208) 798-5132

Other identifiers 1

IdentifierTypeStateIssuer
8066203MedicaidID

National Provider Directory

National Provider Directory

Locations

111 Main St
Ste 302
Lewiston, ID 83501
Phone (208) 798-5132

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1912059361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "address_2": "SUITE 302",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012141",
            "telephone_number": "208-798-5132",
            "fax_number": "208-798-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "address_2": "SUITE 302",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012141",
            "telephone_number": "208-798-5132",
            "fax_number": "208-798-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE COUNSELING AND EDUCATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "LAFAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-798-5132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8066203",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.