Active NPI
Sydney Stevens, LCPC
- Professional Counselor
- Coeur d'Alene, ID
National Provider Identifier
1114539376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC9247
- Practice address
- 1022 N 4TH St Ste 201
Coeur D Alene, ID 83814-3100 - Phone
- (208) 449-6491
- Fax
- (208) 450-2239
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC9247 | ID | Primary |
Addresses
Primary practice location
1022 N 4TH St Ste 201
Coeur D Alene, ID 83814-3100
Mailing address
1022 N 4TH St Ste 201
Coeur D Alene, ID 83814-3100
Phone (208) 449-6491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SSN | Other | ID | 0000 |
| LPC-7817 | Other | ID | STATE OF IDAHO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC9247 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Therapy Co LLC | Professional | Current | Accepting new patients |
| Wellness Counseling PLLC | Professional | Current | Accepting new patients |
| Cultivation, LLC | Professional | Past | Accepting new patients |
Locations
1022 N 4th St
Ste 201
Coeur D Alene, ID 83814
Phone (208) 449-6491
Organizations & group practices 3
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.
-
- Professional Counselor
- Coeur d'Alene, ID
- NPI 1215868252
-
- Professional Counselor
- Phoenix, AZ
- NPI 1932055316
-
- Professional Counselor
- Coeur d'Alene, ID
- NPI 1295353217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1114539376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 N 4TH ST STE 201",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143100",
"telephone_number": "208-449-6491",
"fax_number": "208-450-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 N 4TH ST STE 201",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143100",
"telephone_number": "208-449-6491",
"fax_number": "208-450-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SYDNEY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC9247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0000",
"identifier": "SSN",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IDAHO",
"identifier": "LPC-7817",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.