Laura Wolter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-7822 Issued in ID

Practice address

353 E Lander St
Pocatello, ID 83201-6314

Phone

(208) 261-2131

NPI assigned

Aug 17, 2020

Last updated

Nov 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Greenstone Counseling LLC

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1962149971
  NPD
• Bright Tomorrows Child Advocacy Center

  • Case Management Agency
  • Pocatello, ID
  • NPI 1174876205
  NPD (past)
• Bright Tomorrows, Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Pocatello, ID
  • NPI 1619177797

  Counselor

  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1073125605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400634",
            "telephone_number": "208-261-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E LANDER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016314",
            "telephone_number": "208-261-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-7822",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kori Ann Wittrock, PHARMD
• Destry Wolbert
• Kari Y Wolbert, LPC
• Haille Jean Wolf
• Ryan Daniel Wolfley, PA-C
• Pik Ching Wong, LPC
• Alexandrea Kay Wood
• Derek Wood
• Heidi Joy Wood, LCPC
• Alyssa M Woodbury, PA-C

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, 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 Nov 2, 2022; 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.