Active NPI
Kathrine Dawn Cummings, LMSW
- Mental Health Counselor
- Pocatello, ID
National Provider Identifier
1942584016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW - 31673
- Practice address
- 1070 Hiline Rd
Suite 210
Pocatello, ID 83201-2947 - Phone
- (208) 478-9081
- Fax
- (208) 478-4999
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW - 31673 | ID | Primary |
Addresses
Primary practice location
1070 Hiline Rd
Suite 210
Pocatello, ID 83201-2947
Mailing address
1070 Hiline Rd
Suite 210
Pocatello, ID 83201-2947
Phone (208) 478-9081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW - 31673 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1942584016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 HILINE RD",
"address_2": "SUITE 210",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012947",
"telephone_number": "208-478-9081",
"fax_number": "208-478-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 HILINE RD",
"address_2": "SUITE 210",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012947",
"telephone_number": "208-478-9081",
"fax_number": "208-478-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KATHRINE",
"middle_name": "DAWN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW - 31673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.