MRS. CASSIDY MICHELLE ROSKE LPC NPI 1013198415

NPI Information

  • NPI: 1013198415
  • Provider Name: MRS. CASSIDY MICHELLE ROSKE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 409 WASHINGTON AVE
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 234-2646

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NPI Details

MRS. Cassidy Michelle Roske, LPC is a professional counselor in Pocatello, ID. MRS. Cassidy Michelle Roske, LPC NPI is 1013198415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

409 WASHINGTON AVE
POCATELLO, ID
ZIP 83201-520
Phone: (208) 234-2646
Fax: (208) 232-0035

The enumeration date for this NPI number is 11/14/2007 and was last updated on 3/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional3939IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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