Katie K Sacco, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-6993 Issued in ID

Practice address

1329 S Ammon Park Dr
Idaho Falls, ID 83406-4591

Phone

(208) 973-4442

Fax

(208) 620-3027

NPI assigned

Nov 9, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 10, 2024 through Dec 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Grove Counseling & Consulting, LLC

  • Professional Counselor
  • Idaho Falls, ID
  • NPI 1437838752
  Authorized official Same address or phone
• Woodhouse Counseling LLC

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1811349293
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1164188744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 S AMMON PARK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-973-4442",
            "fax_number": "208-620-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 S AMMON PARK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-973-4442",
            "fax_number": "208-620-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "KATIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-6993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orin Kelley Ryan, DPT
• Rhonda Ryan, L.M.T.
• S. Albertson Dermatology and Skin Cancer Center LLC
• S&G Home Health LLC (Alliance Home Health Care)
• S&G Hospice of Idaho LLC (Alliance Hospice of Idaho)
• Angela J Sackett, D.C.
• Maryam Sadeghi
• Safe Harbor Counseling
• Safe Haven Counseling, LLC
• Pratik Saha, M.B.B.S

• Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.