Individual provider Active NPI

Rebecca Bosch, LCPC, QP, NCC, CRC

  • Professional Counselor
  • Coeur d'Alene, ID
National Provider Identifier
1932483260
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-3663 Issued in ID
Practice address
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone
(208) 620-6520
NPI assigned
Oct 5, 2011
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X LCPC-3663 ID Primary

Addresses

Primary practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Mailing address

PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299

Other names 1

  • Rebecca Cady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003064 ID Practitioner - Mental Health Counselor 9335504513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-3663IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Professional Current Accepting new patients
Dirne Health Centers, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Brevity Treatment Services Mental Health Current Accepting new patients

Locations

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

1809 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 665-9212

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

Interoperability endpoints

  • Direct secure messaging: rebecca.bosch.1@16899.direct.athenahealth.com

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1932483260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W SELTICE WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838148921",
            "telephone_number": "208-620-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "REBECCA",
        "credential": "LCPC, QP, NCC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.