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

Mountain Lake Counseling and Support Services, Inc

Organization Professional Counselor · NPI 1336316207

Mountain Lake Counseling and Support Services, Inc provides Professional Counselor services in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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

804 Airport Way
Sandpoint, ID 83864-8200 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 597-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LPC-3664 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-3664 (ID)

Record details

NPI number1336316207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M. Mikell Zimmerman — President · (208) 597-3553
NPI enumeratedMay 9, 2008
Last updated in NPPESMay 9, 2008
Mailing address804 Airport Way, Sandpoint, ID 83864-8200

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