Active NPI
Erinn Denise Urquiaga, LCPC
- Mental Health Counselor
- Eagle, ID
National Provider Identifier
1154595759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-360
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-360 | ID | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Counselor
- Boise, ID
- NPI 1194834010
-
- General Practice Physician
- Boise, ID
- NPI 1285971416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.