Active NPI
Jennifer Fries, LPC
- Mental Health Counselor
- Post Falls, ID
National Provider Identifier
1982306734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC5153
- Practice address
- 570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437 - Phone
- (208) 777-2169
- NPI assigned
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Mental Health Counselor
- Post Falls, ID
- NPI 1770105850
Addiction (Substance Use Disorder), ID
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bigfoot Counseling, LLC
Practice addresses (Care Compare)
570 S Clearwater Loop
Suite B
Post Falls, ID 83854-5437
Phone (208) 777-2169
570 S Clearwater Loop B
Post Falls, ID 83854-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260127001345 | ID | Practitioner - Mental Health Counselor | 0547747073 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC5153 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bigfoot Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
570 S Clearwater Loop
Ste B
Post Falls, ID 83854
Phone (208) 777-2169
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC5153 | ID | |
| Mental Health Counselor | 101YM0800X | LPC5153 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437
Mailing address
570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437
Phone (208) 777-2169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2023.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1982306734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 S CLEARWATER LOOP STE B",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545437",
"telephone_number": "208-777-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 S CLEARWATER LOOP STE B",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545437",
"telephone_number": "208-777-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "LPC5153",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC5153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.