Aspire365 Idaho LLC
Preventive Medicine, Addiction Medicine in Coeur D Alene, ID. Organization (NPI-2).
NPI number1801720404
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1801720404
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspire365 Idaho LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2026
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 175T00000X | Peer Specialist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
311 E Coeur D Alene Ave Ste ECoeur D Alene, ID 83814-4965
Phone 385-352-9696
Mailing address
9350 S 150 E Ste 320Sandy, UT 84070-2707
Phone 385-352-9746
Authorized official
Zachary Jenson
Ceo
3853529696
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