COLLEEN M GINGERICH LPC NPI 1467572974

NPI Information

NPI: 1467572974
Provider Name: COLLEEN M GINGERICH, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
47589 STATE HIGHWAY 78
MOUNTAIN HOME, ID
ZIP 83647
Phone: (208) 845-2868
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Colleen M Gingerich, LPC is a mental health counselor in Mountain Home, ID. Colleen M Gingerich, LPC NPI is 1467572974. 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:

47589 STATE HIGHWAY 78
MOUNTAIN HOME, ID
ZIP 83647-081
Phone: (208) 845-2868

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

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
1	101YM0800X	Counselor	Mental Health	LPC-3380	IDAHO	Yes
2	104100000X	Social Worker		LSW-610	IDAHO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LSW-610	OTHER	IDAHO	LICENSED SOCIAL WORKER
2	LPC-3380	OTHER	IDAHO	LICENSED PROFESSIONAL COU

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: 11/14/2023

NPI Synchronization or Removal

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