SIDRA ANN LARSON LCPC NPI 1942635735

NPI Information

  • NPI: 1942635735
  • Provider Name: SIDRA ANN LARSON, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1043 E PARK BLVD STE 101
    BOISE, ID
    ZIP 83712
  • Phone: (208) 505-9786

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NPI Details

Sidra Ann Larson, LCPC is a professional counselor in Boise, ID. Sidra Ann Larson, LCPC NPI is 1942635735. 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:

1043 E PARK BLVD STE 101
BOISE, ID
ZIP 83712-711
Phone: (208) 505-9786

The enumeration date for this NPI number is 9/11/2013 and was last updated on 11/14/2025.

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
1101YM0800XCounselorMental Health14237330-6004UTAHNo
2101YM0800XCounselorMental Health24404ARIZONANo
3101YP2500XCounselorProfessional5968IDAHOYes

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: 11/21/2025

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