Ambitions - Medicare Mental Health Clinic in Coeur D Alene, ID

Ambitions is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Coeur D Alene, Idaho. The current practice location for Ambitions is 1044 Northwest Blvd Ste C, Coeur D Alene, Idaho. For appointments, you can reach them via phone at (208) 930-1740. The mailing address for Ambitions is 1044 Northwest Blvd Ste C, Coeur D Alene, Idaho and phone number is (208) 930-1740.

Ambitions is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003145533. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 930-1740.

Contact Information

Ambitions
1044 Northwest Blvd Ste C
Coeur D Alene
ID 83814-2114
(208) 930-1740
(208) 930-1695

Map and Direction


Mental Health Clinic Profile

Full NameAmbitions
SpecialityClinic/Center
Location1044 Northwest Blvd Ste C, Coeur D Alene, Idaho
Authorized Official Name and PositionShane Hagel (PRESIDENT)
Authorized Official Contact2089301740
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ambitions
1044 Northwest Blvd Ste C
Coeur D Alene
ID 83814-2114

Ph: (208) 930-1740
Ambitions
1044 Northwest Blvd Ste C
Coeur D Alene
ID 83814-2114

Ph: (208) 930-1740

NPI Details:

NPI Number1003145533
Provider Enumeration Date12/11/2009
Last Update Date10/12/2023
Certification Date10/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6305121328
Medicare Enrollment IDO20170314000619

Medical Identifiers

Medical identifiers for Ambitions such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003145533NPI-NPPES
8079051MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
320900000XCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ambitions acts as a billing entity for following providers:
Provider NameDeborah E Rodgers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760922470
PECOS PAC ID: 2961776547
Enrollment ID: I20170920002102
Provider NameJeannie Dalton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316304678
PECOS PAC ID: 5698023984
Enrollment ID: I20180802001585
Provider NameJessica Peterson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669901260
PECOS PAC ID: 4688082787
Enrollment ID: I20210408002075
Provider NameMelissa Alton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245764638
PECOS PAC ID: 2961810585
Enrollment ID: I20230213001263
Provider NameTanya Ryan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225593288
PECOS PAC ID: 3779938337
Enrollment ID: I20231017002440
Provider NameColleen Kay Patterson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770250201
PECOS PAC ID: 0648621672
Enrollment ID: I20240103004816
Provider NameSamuel Neal
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1235510702
PECOS PAC ID: 3173975984
Enrollment ID: I20240117002993
Provider NameMichael Georgescu
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639629132
PECOS PAC ID: 1153773726
Enrollment ID: I20240118004069
Provider NameLara Patrice Gagne
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1124170550
PECOS PAC ID: 5991158412
Enrollment ID: I20240131001616
Provider NameKelli Day
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942742309
PECOS PAC ID: 5092150318
Enrollment ID: I20240227001026

Reviews and Comments

Clinic/Center in Coeur D Alene, ID

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Practice Location: 110 E Wallace Ave Ste B, Coeur D Alene, ID 83814
Phone: 801-885-0559    
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814
Phone: 208-769-1406    Fax: 208-769-1430
North Lakes Family Center
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Medicare: Not Enrolled in Medicare
Practice Location: 611 E Lakeside Ave, Coeur D Alene, ID 83814
Phone: 208-664-5941    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.