Lettie Stradley-Bass, LCPC-8478

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7198 Issued in ID

Practice address

9915 N 26TH E
Idaho Falls, ID 83401-6435

Phone

(208) 521-8389

Fax

(208) 271-8882

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chazown Counseling LLC

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1164222618
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1043869142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 N 26TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016435",
            "telephone_number": "208-201-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 N 26TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016435",
            "telephone_number": "208-521-8389",
            "fax_number": "208-271-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLEY-BASS",
        "first_name": "LETTIE",
        "credential": "LCPC-8478",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G. Van Stosich, D.D.S.
• Angela Stott, CADC
• Kimberly Dawn Stowell, M.S., CCC-SLP
• Richard Joseph Strachan, PHARMD
• Strada Performance LLC
• Blake A. Stragier, R.C.S.
• Derek Ronald Strate, DPT
• Strider Physical Therapy
• John J Strobel, MD
• Lynn J Stromberg, MD

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.