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

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: October 25, 2026.

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambitions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Ambitions, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Melissa Alton, LCSW
Clinical Social Worker
NPI 1245764638
1044 NORTHWEST BLVD
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Kelli Day
Mental Health Counselor
NPI 1942742309
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Lara Gagne
Marriage and Family Therapist
NPI 1124170550
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOSSame address
Samuel Neal, LPC
Mental Health Counselor
NPI 1235510702
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Jessica Peterson, LCSW
Clinical Social Worker
NPI 1669901260
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Deborah Rodgers, LCSW
Clinical Social Worker
NPI 1760922470
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOSSame address
Tanya Ryan, LCSW
Clinical Social Worker
NPI 1225593288
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Colleen Patterson
Mental Health Counselor
NPI 1770250201
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
(208) 930-1740
✔ PECOS✔ Accepts MedicareSame address
Jeannie Dalton, LCSW
Clinical Social Worker
NPI 1316304678
23505 E APPLEWAY AVE STE 200 #200-1026
Liberty Lake, WA 99019
(509) 253-7834
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ambitions Of Idaho, Inc located?

Ambitions Of Idaho, Inc is located at 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814. The listed phone number is (208) 930-1740.

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.

Is Ambitions Of Idaho, Inc enrolled in Medicare?

Yes. Ambitions Of Idaho, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ambitions Of Idaho, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Ambitions Of Idaho, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Mental Health Counselor (3) and Marriage and Family Therapist (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ambitions Of Idaho, Inc accept?

Health plans from Molina Healthcare list Ambitions Of Idaho, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambitions Of Idaho, Inc was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.