Loren Raymond Caudle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC7663 Issued in ID

Practice address

127 S Washington St Ste 5
Moscow, ID 83843-2866

Phone

(208) 883-9927

Fax

(208) 883-9935

NPI assigned

Jul 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri-Star Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Clarkston, WA
  • NPI 1982240875
  NPD Authorized official
• Downtown Counseling Group LLC

  • Mental Health Counselor
  • Moscow, ID
  • NPI 1396396677
  NPD

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1972943090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "208-883-9927",
            "fax_number": "208-883-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "208-883-9927",
            "fax_number": "208-883-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "LOREN",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL60200343",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "507297",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC7663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Campos, FNP-C
• Caren Cox Counseling
• Rachel Carnes, DNP, APRN, FNP-C
• Debby Carscallen, ATC
• Catalyst Medical Group, PLLC
• Jennifer Cervantes Shuffield, LCSW
• Christina Leigh Cervieri, MD
• Songah Chae
• Shelley Lynn Chambers Fox, PHD
• Alexa Chandler, PHD

• Professional Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.