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MOUNTAIN LAKE COUNSELING AND SUPPORT SERVICES, INC.
NPI 1336316207
Community/Behavioral Health in Sandpoint, ID

Active since May 09, 2008
804 AIRPORT WAY, SANDPOINT, ID 83864(208) 597-3553 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Lake Counseling And Support Services, Inc. NPPES

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

MOUNTAIN LAKE COUNSELING AND SUPPORT SERVICES, INC. (NPI 1336316207) is a healthcare organization registered as a community/behavioral health in Sandpoint, Idaho and active in the NPI registry since May 2008. The organization lists M. Mikell Zimmerman, President, as its authorized official.

NPPES Registry Identity

NPI1336316207
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMOUNTAIN LAKE COUNSELING AND SUPPORT SERVICES, INC.
Location Address804 AIRPORT WAYSandpoint, ID 83864-8200
Mailing Address804 Airport WaySandpoint, ID 83864-8200 · (208) 597-3553
Phone(208) 597-3553
Organization SubpartNo
Authorized OfficialM. Mikell ZimmermanPresident · (208) 597-3553
Enumeration DateMay 9, 2008
✔ NPI 1336316207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in ID · LPC-3664
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-3664 (ID)
804 AIRPORT WAY, Sandpoint, ID 83864
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARY MIKELL ZIMMERMAN M.S.
Counselor (Professional)
804 AIRPORT WAY, BONNER BUSINESS CENTER
SANDPOINT, ID 83864
Bonner County (208) 597-3553

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 Mountain Lake Counseling And Support Services, Inc.'s NPI number?

The NPI number for Mountain Lake Counseling And Support Services, Inc. is 1336316207. It was assigned to this organization in the NPPES registry on May 9, 2008.

Where is Mountain Lake Counseling And Support Services, Inc. located?

Mountain Lake Counseling And Support Services, Inc. is located at 804 Airport Way, Sandpoint, ID 83864. The listed phone number is (208) 597-3553.

What is Mountain Lake Counseling And Support Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mountain Lake Counseling And Support Services, Inc. was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.