PATTERSON COMPASSIONATE COUNSELING, LLC (NPI# 1487800470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487800470 |
| Entity Type | Organization |
| Organization Name | PATTERSON COMPASSIONATE COUNSELING, LLC |
| Practice Address |
414 Shoup Ave Suite 111 Idaho Falls ID 83402-3603 |
| Practice Telephone | 2085246373 |
| Mailing Telephone | 2085246373 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | LAVONNA D PATTERSON (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2085246373 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY-202117 | ID | Behavioral Health & Social Service Providers |
| Street Address |
414 SHOUP AVE SUITE 111 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815164 | Amanda Catherine Kearns | Psychologist | 1612 Kearney St, Idaho Falls, ID 83401-3055 | 2020-06-11 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1336378447 | Douglas E. Craig | Psychologist | 3670 S 25th E, #2, Idaho Falls, ID 83404-4956 | 2009-07-09 |
| 1053556258 | Melinda L Jorgensen | Psychologist | 3417 Merlin Dr, Ste 102, Idaho Falls, ID 83404-7430 | 2008-12-03 |
| 1326106238 | Free Spirit Counseling & Consulting | Psychologist | 548 Lomax Street, Idaho Falls, ID 83401 | 2006-12-04 |
| 1588682652 | Lavonna D Patterson | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2006-07-17 |
| 1942836911 | Amerihealth Inc | Psychologist | 1995 E 17th St, Idaho Falls, ID 83404-6493 | 2020-03-20 |
| 1245706274 | Joel Bocanegra | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2018-10-17 |
| 1790144657 | Brandon Derrick Borchman | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-02-19 |
| 1063802023 | Maxwell Moholy | Psychologist | 3417 Merlin Dr, Suite 102, Idaho Falls, ID 83404-7430 | 2015-01-29 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on PATTERSON COMPASSIONATE COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.