Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ambitions of Idaho, Inc

Organization Professional Counselor · NPI 1003145533

Ambitions of Idaho, Inc is a Professional Counselor in Coeur D Alene, Idaho. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1044 NW Blvd Ste C
Coeur D Alene, ID 83814-2114
Phone: (208) 930-1740
Fax: (208) 930-1695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1003145533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Hagel — President · (208) 930-1740
Other names Ambitions; Ambitions
NPI enumeratedDecember 11, 2009
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114

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