Individual provider Active NPI

Erinn Denise Urquiaga, LCPC

  • Mental Health Counselor
  • Eagle, ID
National Provider Identifier
1154595759
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-360 Issued in ID
Practice address
688 N Beachwood St
Eagle, ID 83616-5046
Phone
(208) 420-7311
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X LCPC-360 ID
Mental Health Counselor 101YM0800X LCPC-360 ID Primary

Addresses

Primary practice location

688 N Beachwood St
Eagle, ID 83616-5046

Mailing address

688 N Beachwood St
Eagle, ID 83616-5046
Phone (208) 420-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-360IDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home Society of Idaho Mental Health Past Accepting new patients
Children'S Home Society of Idaho Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1154595759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 N BEACHWOOD ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165046",
            "telephone_number": "208-420-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 N BEACHWOOD ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165046",
            "telephone_number": "208-420-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIAGA",
        "first_name": "ERINN",
        "middle_name": "DENISE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "ID",
            "license": "LCPC-360",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.