Active NPI
Laura McKee, PSY.D.
- Counseling Psychologist
- Driggs, ID
National Provider Identifier
1124191895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY-202283
- Practice address
- 158 North First East Street
Driggs, ID 83422 - Phone
- (208) 201-5230
- Fax
- (208) 787-5230
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Case Manager/Care Coordinator
- Jackson, WY
- NPI 1548137508
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, WY
- NPI 1578635462
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | WY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health & Recovery Services of Jackson Hole | Past | Accepting new patients | |
| Mental Health & Recovery Services of Jackson Hole | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY-202283 | ID | Primary |
| Counseling Psychologist | 103TC1900X | 344 | WY |
Addresses
NPPES NPI RegistryPrimary practice location
158 North First East Street
Driggs, ID 83422
Mailing address
PO Box 983
Driggs, ID 83422-0983
Phone (208) 201-5230
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31131 | Other | WY | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124191895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 983",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834220983",
"telephone_number": "208-201-5230",
"fax_number": "208-787-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 NORTH FIRST EAST STREET",
"city": "DRIGGS",
"state": "ID",
"postal_code": "83422",
"telephone_number": "208-201-5230",
"fax_number": "208-787-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ID",
"license": "PSY-202283",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WY",
"license": "344",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31131",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.