P Praxis·MD
● Active Type 2 · Organization

Ambitions Of Idaho, Inc

Clinic/Center·Coeur D Alene, ID· NPI 1003145533 · Enumerated 2009 · 16 years on NPI
Ambitions Of Idaho, Inc is 1 of 326 clinic/center organizations in Idaho.
NPI age
16 years
Enumerated 2009-12-11
Primary specialty
Clinic/Center
Plus 7 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hagel
President
Last NPPES update
2023-10-12
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
16 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
7
In the 19% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-12Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
1044 Northwest Blvd Ste C
Coeur D Alene, ID 838142114
📞 2089301740fax 2089301695
Mailing address
1044 Northwest Blvd Ste C
Coeur D Alene, ID 838142114
📞 2089301740fax 2089301695

Authorized official

Shane Hagel
President
📞 2089301740

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    taxonomy 320900000X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X
  • Psychiatry & Neurology
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    taxonomy 2084P0804X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (ID) 8079051

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Ambitions
    Type code 3 recorded 2021-11-01
  • Ambitions
    Type code 3 recorded 2009-12-11

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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