Individual provider Active NPI

Kristina S. Tapia, LCSW

  • Clinical Social Worker
  • Twin Falls, ID
National Provider Identifier
1063787752
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-31886 Issued in ID
Practice address
1239 Filer Ave E # C
Twin Falls, ID 83301-4118
Phone
(208) 421-1788
Fax
(208) 734-0211
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 31886 ID
Clinical Social Worker 1041C0700X LCSW-31886 ID Primary

Addresses

Primary practice location

1239 Filer Ave E # C
Twin Falls, ID 83301-4118

Mailing address

1225 Langford Way
Twin Falls, ID 83301-4785

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31886IDMDMental Health Counselor
LCSW-31886IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Balance Counseling LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1239 Filer Ave E
#C
Twin Falls, ID 83301
Phone (208) 421-1788

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1063787752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LANGFORD WAY",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 FILER AVE E # C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014118",
            "telephone_number": "208-421-1788",
            "fax_number": "208-734-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "KRISTINA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "31886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31886",
            "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 Feb 6, 2024; 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.