JIM SMIDT (NPI# 1720620750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720620750 |
| Entity Type | Individual |
| Full Name | JIM SMIDT |
| Practice Address |
820 N William St Post Falls ID 83854-5123 |
| Practice Telephone | 2087550660 |
| Practice Fax Number | 2087777691 |
| Mailing Telephone | 2087550660 |
| Mailing Fax Number | 2087777691 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
46949 | ID | Ambulatory Health Care Facilities |
| Street Address |
820 N WILLIAM ST |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405945 | Nate Bonovitz Counseling, LLC | Clinic/Center | 1151 E Iron Eagle Dr, Eagle, ID 83616-6854 | 2020-01-02 |
| 1225507668 | Summus Counseling, LLC | Clinic/Center | 211 S Woodruff Ave Ste 13, Idaho Falls, ID 83401-4324 | 2018-11-14 |
| 1750705687 | Answers, LLC | Clinic/Center | 527 W 20th St, Idaho Falls, ID 83402-4421 | 2014-02-12 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1598012700 | Tueller Counseling Services | Clinic/Center | 2275 West Broadway Suite G, Idaho Falls, ID 83402 | 2012-08-07 |
| 1952674988 | My Brother's Keeper Mbk | Clinic/Center | 704 S Cole Rd, Boise, ID 83709-1861 | 2012-02-22 |
| 1639476294 | Idaho Dept of Health & Welfare Reg 2 Cmh | Clinic/Center | 1350 Troy Highway, Moscow, ID 83843-3995 | 2011-02-17 |
| 1154639714 | Eartherapy | Clinic/Center | 354 W Sunnyside Rd, Suite D, Idaho Falls, ID 83402-4644 | 2010-09-16 |
| 1104048503 | Community Partnerships of Idaho, Inc. | Clinic/Center | 3214 N Acre Ln, Boise, ID 83704-4501 | 2007-05-03 |
| 1265654461 | About Balance Mental Health LLC | Clinic/Center | 6550 Emerald St, Suite 112, Boise, ID 83704 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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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.