LOOKOUT BEHAVIORAL HEALTH LLC (NPI# 1962033399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962033399 |
| Entity Type | Organization |
| Organization Name | LOOKOUT BEHAVIORAL HEALTH LLC |
| Practice Address |
7905 N Meadowlark Way Ste A Coeur D Alene ID 83815-5041 |
| Mailing Address |
Po Box 2792 Hayden ID 83835-2792 |
| Practice Telephone | 2087622500 |
| Mailing Telephone | 2087629856 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | GRAHAM M CHRISTENSEN (OWNER) |
| Authorized Official Telephone | 2087040380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394822 | Lookout Behavioral Health LLC | Clinic/Center | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2018-01-11 |
| 1972135507 | Lookout Behavioral Health LLC | Community/Behavioral Health | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-11 |
| 1881226413 | Lookout Behavioral Health LLC | Case Management | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-11 |
| Street Address |
7905 N MEADOWLARK WAY STE A |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394822 | Lookout Behavioral Health LLC | Clinic/Center | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2018-01-11 |
| 1972135507 | Lookout Behavioral Health LLC | Community/Behavioral Health | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-11 |
| 1881226413 | Lookout Behavioral Health LLC | Case Management | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2020-02-11 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063285 | Olivia G Smith | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-30 |
| 1477106037 | Brittni Hudlet | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-22 |
| 1699332437 | Tiffany Stephenson | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-05-28 |
| 1275010233 | Gordon Bruce Cuthbert | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-23 |
| 1679059208 | Tina Marie Rozniewski | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1962988451 | Cassey Coleman | Peer Specialist | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-07-17 |
| 1598116659 | Mental Wellness Clinic of Coeur D Alene | Peer Specialist | 1105 W Ironwood Dr, Coeur D Alene, ID 83814-2613 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779523 | Tracie Lyn Hansen | Peer Specialist | 560 Fairway Dr, Pocatello, ID 83201-2012 | 2020-10-29 |
| 1306481817 | Ability Health and Rehabilitation LLC | Peer Specialist | 10101 W Overland Rd Ste 110, Boise, ID 83709-1429 | 2019-11-08 |
| 1609426923 | Amie Hughes | Peer Specialist | 4737 S Afton Pl Ste A, Chubbuck, ID 83202-2317 | 2019-09-18 |
| 1184113482 | Kolleen Marie Wynn-gallipeau | Peer Specialist | 444 Hospital Way Ste 447, Pocatello, ID 83201-2744 | 2018-05-02 |
| 1073127791 | Calm Waters Counseling Pllc | Peer Specialist | 10108 W Overland Rd Ste A, Boise, ID 83709-1428 | 2020-09-01 |
| 1790307890 | Jx2 LLC | Peer Specialist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2020-05-12 |
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1346878691 | Aspen Ministries Syringa Wellness | Peer Specialist | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2020-03-31 |
| 1356981419 | Lake City Counseling Center | Peer Specialist | 9705 N Shaw St, Hayden, ID 83835-9716 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| 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.