Individual provider Active NPI

Laura S Sferra, LCPC

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1104924562
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-333 Issued in ID
Practice address
520 E Coeur D Alene Ave
Coeur D Alene, ID 83814-2873
Phone
(208) 659-5119
Fax
(208) 667-5568
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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 LCPC-333 ID Primary

Addresses

Primary practice location

520 E Coeur D Alene Ave
Coeur D Alene, ID 83814-2873

Mailing address

520 E Coeur Dalene Ave
Coeur D Alene, ID 83814-2873
Phone (208) 659-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-333IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivation, LLC Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1104924562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E COEUR DALENE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142873",
            "telephone_number": "208-659-5119",
            "fax_number": "208-667-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E COEUR D ALENE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142873",
            "telephone_number": "208-659-5119",
            "fax_number": "208-667-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SFERRA",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.