Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ambitions of Idaho, Inc

Mental Health Clinic/Center (Including Community Mental Health Center) in Coeur D Alene, ID · enumerated 2009 · authorized official Shane Hagel, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003145533

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Registry record

Entity type Organization (Type 2)

Legal business name Ambitions of Idaho, Inc

Other name <Unavail>

Practice address 1044 Northwest Blvd Ste C, Coeur D Alene, ID, 83814

Phone (208) 930-1740

Fax (208) 930-1695

Enumeration date Dec 11, 2009

Last updated in NPPES Oct 12, 2023

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

251B00000X Case Management Agency Agencies Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Shane Hagel

Title President

Phone (208) 930-1740

Other identifiers

Identifier	Type	State	Issuer
8079051	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-12. Verify at npiregistry.cms.hhs.gov.

Where is Ambitions of Idaho, Inc located?

The practice location on file with NPPES is in Coeur D Alene, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-12.