NPIMap

Organization Active NPI

Intraspect Counseling LLC

  • Professional Counselor
  • Hayden, ID
National Provider Identifier
1972862290
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4041 Issued in ID
Legal business name
INTRASPECT COUNSELING LLC
Practice address
88 W Commerce Dr
Suite C
Hayden, ID 83835-7994
Phone
(208) 762-4405
Fax
(888) 977-1389
NPI assigned
May 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Dr. Traci Lynn Feek, LPC, NCSP
Title
Owner
Phone
(208) 762-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-4041 ID Primary

Addresses

Primary practice location

88 W Commerce Dr
Suite C
Hayden, ID 83835-7994

Mailing address

88 W Commerce Dr
Suite C
Hayden, ID 83835-7994
Phone (208) 762-4405

National Provider Directory

National Provider Directory

Locations

88 W Commerce Dr
Ste C
Hayden, ID 83835
Phone (208) 762-4405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1972862290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 W COMMERCE DR",
            "address_2": "SUITE C",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357994",
            "telephone_number": "208-762-4405",
            "fax_number": "888-977-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W COMMERCE DR",
            "address_2": "SUITE C",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357994",
            "telephone_number": "208-762-4405",
            "fax_number": "888-977-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRASPECT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "FEEK",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-762-4405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, NCSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.