Provider Type Icon

RENA L BRADYMIRE LPC NPI 1871930123


NPI Information

NPI: 1871930123
Provider Name: RENA L BRADYMIRE, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2201 N GOVERNMENT WAY STE K
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-0552
Get Directions

Rena L Bradymire, LPC is a mental health counselor in Coeur D Alene, ID. Rena L Bradymire, LPC NPI is 1871930123. 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:

2201 N GOVERNMENT WAY STE K
COEUR D ALENE, ID
ZIP 83814-658
Phone: (208) 664-0552
Fax: (209) 262-9698

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/14/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLH60074397WASHINGTONNo
2101YM0800XCounselorMental HealthLPC-3454IDAHOYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.