Individual provider Active NPI

Gregory Lippert, MA, MHC, CSAC

  • Mental Health Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1912346032
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
300 Issued in HI
Practice address
250 Northwest Blvd Ste 110
Coeur D Alene, ID 83814-2971
Phone
(208) 929-6845
NPI assigned
Jun 21, 2013
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 300 HI Primary

Addresses

Primary practice location

250 Northwest Blvd Ste 110
Coeur D Alene, ID 83814-2971

Mailing address

9030 N Hess St # 104
Hayden, ID 83835-9827
Phone (808) 852-9142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240111002225 HI Practitioner - Mental Health Counselor 4587015797 Reassigns benefits to 1 organization
I20240320004157 ID Practitioner - Mental Health Counselor 4587015797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Northwest Blvd
Suite 110
Coeur D Alene, ID 83814-2971
Phone (208) 929-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
300HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Empowerment Resources CurrentSince Jan 1, 2024 Accepting new patients
Bodhicitta Counseling Iop CurrentSince Mar 20, 2025 Accepting new patients
Bodhicitta Counseling LLC Mental Health CurrentSince Feb 1, 2024 Accepting new patients

Locations

1110 University Ave
Ste 411
Honolulu, HI 96826
Phone (808) 942-7800

250 Northwest Blvd
Ste 110
Coeur D Alene, ID 83814
Phone (208) 929-6845

Organizations & group practices 3

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1912346032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 N HESS ST # 104",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "808-852-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 110",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142971",
            "telephone_number": "208-929-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "GREGORY",
        "credential": "MA, MHC, CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.