Individual provider Active NPI

Erika Nordfelt, LCPC

  • Counselor
  • Rexburg, ID
National Provider Identifier
1114479508
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC5208 Issued in ID
Practice address
343 E 4TH N Ste 200
Rexburg, ID 83440-6006
Phone
(208) 261-2131
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 LCPC-8613 ID
Counselor 101Y00000X LPC5208 ID Primary

Addresses

Primary practice location

343 E 4TH N Ste 200
Rexburg, ID 83440-6006

Mailing address

343 E 4TH N Ste 200
Rexburg, ID 83440-6006
Phone (208) 261-2131

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
LPC5208IDMDCounselor
LCPC-8613IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenstone Counseling LLC Mental Health CurrentSince May 1, 2022 Accepting new patients

Locations

343 E 4th N
Ste 200
Rexburg, ID 83440
Phone (208) 261-2131

343 E 4th N
Ste 227
Rexburg, ID 83440
Phone (208) 208-2131

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1114479508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E 4TH N STE 200",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406006",
            "telephone_number": "208-261-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N STE 200",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406006",
            "telephone_number": "208-261-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDFELT",
        "first_name": "ERIKA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-8613",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.