SAFE HARBOR COUNSELING CENTER LLC
NPI 1104278142
Counselor - Mental Health in Coeur D Alene, ID

Active since July 01, 2016
206 W IRONWOOD DR # 1012, COEUR D ALENE, ID 83814(757) 645-7722(757) 645-2808 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2024, Sep 9, 2022, Feb 25, 2022 and 6 more (9 updates tracked since 2016).

About Safe Harbor Counseling Center Llc NPPES

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

SAFE HARBOR COUNSELING CENTER LLC (NPI 1104278142) is a healthcare organization registered as a mental health in Coeur D Alene, Idaho and active in the NPI registry since July 2016. The organization maintains a secondary practice location in Williamsburg and lists Lisa Marie Frazier, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1104278142
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSAFE HARBOR COUNSELING CENTER LLC
Location Address206 W IRONWOOD DR # 1012Coeur D Alene, ID 83814-2640
Mailing Address206 W Ironwood Dr # 1012Coeur D Alene, ID 83814-2640 · (757) 645-7722 · Fax (757) 645-2808
Fax(757) 645-2808
Organization SubpartNo
Authorized OfficialLisa Marie FrazierOwner/manager · (757) 645-7722
Enumeration DateJuly 1, 2016
Last NPPES UpdateApril 26, 20249 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1104278142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701005793
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0717001312 (VA)
206 W IRONWOOD DR # 1012, Coeur D Alene, ID 83814

Secondary Practice Location 1

Location 11320 Richmond Rd # 1053Williamsburg, VA 23185-2831 · Phone (757) 645-7722 · Fax (757) 645-2808

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safe Harbor Counseling Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Safe Harbor Counseling Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1255751590
206 W IRONWOOD DR # 1012
Coeur D Alene, ID 83814
(757) 645-7722
✔ PECOSSame address

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 Safe Harbor Counseling Center LLC's NPI number?

The NPI number for Safe Harbor Counseling Center LLC is 1104278142. It was assigned to this organization in the NPPES registry on July 1, 2016.

Where is Safe Harbor Counseling Center LLC located?

Safe Harbor Counseling Center LLC is located at 206 W Ironwood Dr # 1012, Coeur D Alene, ID 83814. The listed phone number is (757) 645-7722.

What is Safe Harbor Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Safe Harbor Counseling Center LLC enrolled in Medicare?

Yes. Safe Harbor Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Safe Harbor Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Safe Harbor Counseling Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Safe Harbor Counseling Center LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.