Individual provider Active NPI

Kari Threadgill, MA, LMHCA, LPC, CMHS

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1972042299
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC 60590024 Issued in WA
Practice address
250 Northwest Blvd Ste 107a
Coeur D Alene, ID 83814-2971
Phone
(208) 449-1272
Fax
(208) 209-7427
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MC 60590024 WA Primary

Addresses

Primary practice location

250 Northwest Blvd Ste 107a
Coeur D Alene, ID 83814-2971

Mailing address

2388 W Dalton Ave
Coeur D Alene, ID 83815-0425

Other practice location 1

2388 W Dalton Ave
Coeur D Alene, ID 83815-0425
Phone (208) 659-6683

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC 60590024WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K M Haycraft LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972042299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 W DALTON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838150425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 107A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142971",
            "telephone_number": "208-449-1272",
            "fax_number": "208-209-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2388 W Dalton Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838150425",
            "country_code": "US",
            "telephone_number": "208-659-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THREADGILL",
        "first_name": "KARI",
        "credential": "MA, LMHCA, LPC, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60590024",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2018; 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.