NPIMap

Organization Active NPI

White Pine Counseling

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1932247277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-796 Issued in ID
Legal business name
WHITE PINE COUNSELING
Practice address
1104 W Ironwood Dr
Ste a
Coeur D Alene, ID 83814-2605
Phone
(208) 667-8860
Fax
(208) 667-2119
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Ann Kinmouth, LCSW
Title
Owner
Phone
(208) 667-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCSW-796 ID Primary

Addresses

Primary practice location

1104 W Ironwood Dr
Ste a
Coeur D Alene, ID 83814-2605

Mailing address

1104 W Ironwood Dr
Ste a
Coeur D Alene, ID 83814-2605
Phone (208) 667-8860

Other identifiers 2

IdentifierTypeStateIssuer
000010139968OtherIDREGENCE BLUESHIELD
L2045OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory
Tax ID family
White Pine Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932247277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W IRONWOOD DR",
            "address_2": "STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142605",
            "telephone_number": "208-667-8860",
            "fax_number": "208-667-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W IRONWOOD DR",
            "address_2": "STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142605",
            "telephone_number": "208-667-8860",
            "fax_number": "208-667-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINMOUTH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-8860",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW-796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "000010139968",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "L2045",
            "state": "ID"
        }
    ],
    "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 Aug 22, 2020; 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.