MRS. KATIE MARIE ANDERSON LPC M. COUN NPI 1497807416

NPI Information

NPI: 1497807416
Provider Name: MRS. KATIE MARIE ANDERSON, LPC M. COUN
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1740 E 17TH ST STEB
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 351-5539
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MRS. Katie Marie Anderson, LPC M. COUN is a counselor in Idaho Falls, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Katie Marie Anderson, LPC M. COUN NPI is 1497807416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1740 E 17TH ST STEB
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 351-5539
Fax: (208) 522-8725

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		LPC3597	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010155545	OTHER	IDAHO	BLUE SHIELD OF IDAHO
2	X6890	OTHER	IDAHO	BLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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