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

Canopy Village Inc

Organization Mental Health Counselor · NPI 1609354109

Canopy Village Inc is a Mental Health Counselor in Coeur D Alene, Idaho. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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

1350 W Hanley Ave
Coeur D Alene, ID 83815-8638
Phone: (208) 667-1189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1318 W Hanley Ave, Coeur D Alene, ID 83815-8638 — (208) 765-0688

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X

Record details

NPI number1609354109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Mettler — Executive Director · (208) 667-1189
NPI enumeratedAugust 6, 2018
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address1350 W Hanley Ave, Coeur D Alene, ID 83815-8638

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