Risa G. Mortensen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 4877 Issued in ID

Practice address

1759 Jackson Ave
Burley, ID 83318-2128

Phone

(208) 431-1889

NPI assigned

Jun 26, 2013

Last updated

Nov 4, 2025By the provider in NPPES

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

Other names 1

• Risa G. Mortensen/Stoddard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1093155871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 JACKSON AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182128",
            "telephone_number": "208-431-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 JACKSON AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182128",
            "telephone_number": "208-431-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "RISA",
        "middle_name": "G.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC 4877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISA",
            "last_name": "MORTENSEN/STODDARD",
            "middle_name": "G.",
            "credential": "LPC-4877",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Burley, ID
• Providers in Burley, 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 4, 2025; 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.