LAKE CITY COUNSELING CENTER
NPI 1356981419
Peer Specialist in Hayden, ID

Active since January 07, 2020
9705 N SHAW ST, HAYDEN, ID 83835(208) 625-9981 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake City Counseling Center NPPES

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

LAKE CITY COUNSELING CENTER (NPI 1356981419) is a healthcare organization registered as a peer specialist in Hayden, Idaho and active in the NPI registry since January 2020. The organization lists Jennifer Rian Tuttle, Owner, as its authorized official.

NPPES Registry Identity

NPI1356981419
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameLAKE CITY COUNSELING CENTER
Location Address9705 N SHAW STHayden, ID 83835-9716
Mailing Address9705 N Shaw StHayden, ID 83835-9716
Organization SubpartYesParent: Peer Support
Authorized OfficialJennifer Rian TuttleOwner · (208) 819-2716
Enumeration DateJanuary 7, 2020
NPI 1356981419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
9705 N SHAW ST, Hayden, ID 83835

Other Names 1

Other NamePeer Support

Other Identifiers 1

Medicaid1720513963ID

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

Other Providers at the Same Location NPPES 5

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

Peer Specialist
9705 N SHAW ST
HAYDEN, ID 83835
Social Worker (Clinical)
9705 N SHAW ST
HAYDEN, ID 83835
Social Worker (Clinical)
9705 N SHAW ST
HAYDEN, ID 83835
Case Management
9705 N SHAW ST
HAYDEN, ID 83835
Community/Behavioral Health
9705 N SHAW ST
HAYDEN, ID 83835

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 Lake City Counseling Center's NPI number?

The NPI number for Lake City Counseling Center is 1356981419. It was assigned to this organization in the NPPES registry on January 7, 2020. The provider is also known as Peer Support.

Where is Lake City Counseling Center located?

Lake City Counseling Center is located at 9705 N Shaw St, Hayden, ID 83835. The listed phone number is (208) 625-9981.

What is Lake City Counseling Center's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lake City Counseling Center was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.