AMBITIONS
NPI 1003145533
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coeur D Alene, ID

Q: What is Ambitions Of Idaho, Inc's NPI number?

The NPI number for Ambitions Of Idaho, Inc is 1003145533. It was assigned to this organization in the NPPES registry on December 11, 2009. The provider is doing business as Ambitions.

Q: What is Ambitions Of Idaho, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since December 11, 2009

1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814(208) 930-1740(208) 930-1695 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, May 2, 2023, Nov 1, 2021 (3 updates tracked since 2021).

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About Ambitions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBITIONS (NPI 1003145533) is a healthcare organization registered as a mental health (including community mental health center) in Coeur D Alene, Idaho and active in the NPI registry since December 2009. The organization lists Shane Hagel, President, as its authorized official.

NPPES Registry Identity

NPI1003145533

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameAMBITIONS OF IDAHO, INC

Location Address1044 NORTHWEST BLVD STE CCoeur D Alene, ID 83814-2114

Mailing Address1044 Northwest Blvd Ste CCoeur D Alene, ID 83814-2114 · (208) 930-1740 · Fax (208) 930-1695

Phone(208) 930-1740

Fax(208) 930-1695

Organization SubpartNo

Authorized OfficialShane HagelPresident · (208) 930-1740

Enumeration DateDecember 11, 2009

Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1003145533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

1044 NORTHWEST BLVD STE C, Coeur D Alene, ID 83814

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Other Names 1

Doing Business AsAmbitions

Other Identifiers 1

Medicaid8079051ID

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LARA PATRICE GAGNE

Marriage & Family Therapist