Couch Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUCH MENTAL HEALTH LLC

Doing business as

Spirit In Light Healing Center

Practice address

1426 Addison Ave E
Twin Falls, ID 83301-5202

Phone

(208) 280-0365

Fax

(208) 549-7253

NPI assigned

Jun 14, 2021

Last updated

Jul 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Couch, LCSW, CT

Title

Owner

Phone

(208) 280-0365

Specialties & licenses 1

Addresses

Other names 1

• Spirit In Light Healing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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.

• Kathleen Couch, LCSW, CT

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1255687521
  Medicare reassignment NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1952979338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015202",
            "telephone_number": "208-280-0365",
            "fax_number": "208-549-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015202",
            "telephone_number": "208-280-0365",
            "fax_number": "208-549-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-280-0365",
        "authorized_official_credential": "LCSW, CT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit In Light Healing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spirit In Light Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Arden Costello, DPT
• Mallory Cotten, LCSW
• Kathleen Couch, LCSW, CT
• Counseling Center
• Jennifer Cowan, M.S. IN COUNSELING
• Olivia Debra Cox, RD
• Craig D Holman Chartered

• Mental Health Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.