PERIWINKLE CHILDREN'S THERAPY (NPI# 1598211856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598211856 |
| Entity Type | Organization |
| Organization Name | PERIWINKLE CHILDREN'S THERAPY |
| Practice Address |
917 W Canfield Ave Coeur D Alene ID 83815-9764 |
| Mailing Address |
917 W. Canfield Ave Coeur D Alene ID 83815-9764 |
| Practice Telephone | 2087623502 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | MRS. MICHELLE COPPESS (OWNER) |
| Authorized Official Telephone | 2088184573 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | TSLP-3021 | ID | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184972184 | Periwinkle Children's Therapy | Physical Therapist | 1401 W Bizztown Loop, Hayden, ID 83835-5113 | 2012-08-22 |
| Street Address |
917 W CANFIELD AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153282 | Amanda Ball | Speech-Language Pathologist | 917 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2016-05-27 |
| 1811474364 | Shawna Richardson Mcdonald | Speech-Language Pathologist | 917 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2018-07-26 |
| 1588171300 | Janie Ortega | Occupational Therapist | 917 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2018-01-02 |
| 1942653290 | Tara Carlson | Speech-Language Pathologist | 917 W Canfield Ave, Coeur D Alene, ID 83815-9764 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636681 | Soar Behavior Services Idaho | Community/Behavioral Health | 2501 E Sherman Ave Apt 415, Coeur D Alene, ID 83814-5855 | 2019-09-03 |
| 1700394715 | Restart Counseling Pllc | Community/Behavioral Health | 1625 N 4th St Ste 102c, Coeur D Alene, ID 83814-6178 | 2018-01-12 |
| 1609328582 | Alpha Counseling | Community/Behavioral Health | 1410 Lincoln Way, Coeur D Alene, ID 83814-2300 | 2016-10-26 |
| 1417370990 | Wellness Enhancement Center of Idaho Inc. | Community/Behavioral Health | 1111 W Ironwood Dr Ste B, Coeur D Alene, ID 83814-2604 | 2014-02-04 |
| 1154689727 | Monarch Mental Health | Community/Behavioral Health | 1713 E Sherman Ave, Coeur D Alene, ID 83814-5326 | 2012-05-02 |
| 1003180118 | Restored Paths | Community/Behavioral Health | 109 E Harrison Ave, Coeur D Alene, ID 83814-3238 | 2012-03-07 |
| 1134320104 | White Pine Counseling | Community/Behavioral Health | 1104 W Ironwood Dr Ste A, Coeur D Alene, ID 83814-2605 | 2007-05-29 |
| 1104032689 | Northwest Behavioral Healthcare | Community/Behavioral Health | 2190 W Ironwood Center Dr, Coeur D Alene, ID 83814-2695 | 2007-05-14 |
| 1033322557 | Mental Wellness Centers | Community/Behavioral Health | 500 N Government Way Ste 100, Coeur D Alene, ID 83814-2976 | 2007-05-08 |
| 1487875456 | Alternative Community Enrichment Services | Community/Behavioral Health | 1103 E Sherman Ave, Coeur D Alene, ID 83814-4154 | 2007-05-01 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
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| 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.