Individual provider Active NPI

Laurie Hewitt Geren, LCPC

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1053470930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3245 Issued in ID
Practice address
810 Chase Dr
Twin Falls, ID 83301-4211
Phone
(208) 539-5751
Fax
(208) 733-9168
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3245 ID Primary

Addresses

Primary practice location

810 Chase Dr
Twin Falls, ID 83301-4211

Mailing address

810 Chase Dr
Twin Falls, ID 83301-4211
Phone (208) 539-5751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3245IDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053470930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CHASE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014211",
            "telephone_number": "208-539-5751",
            "fax_number": "208-733-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CHASE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014211",
            "telephone_number": "208-539-5751",
            "fax_number": "208-733-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREN",
        "first_name": "LAURIE",
        "middle_name": "HEWITT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.