Individual provider Active NPI

Stephanie Shawn Reeves, LCPC

  • Mental Health Counselor
  • Sandpoint, ID
National Provider Identifier
1184213142
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 E Lake St Ste 305
Sandpoint, ID 83864-1366
Phone
(208) 719-1854
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AK Primary

Addresses

Primary practice location

120 E Lake St Ste 305
Sandpoint, ID 83864-1366

Mailing address

410 S Lavina Ave Apt 1
Sandpoint, ID 83864-1145
Phone (208) 719-1854

Other identifiers 3

IdentifierTypeStateIssuer
1184213142OtherIDBLUE CROSS
1184213142MedicaidID
1184213142OtherIDUBH

Other names 1

  • Stephanie Shawn Asplund Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Cranes Therapy CurrentSince Dec 10, 2023 Accepting new patients
Providence Health & Services - Washington PastSince Jan 1, 2021 Accepting new patients
Providence Health & Services Washington PastSince Jan 1, 2021 Accepting new patients

Locations

120 E Lake St
Ste 305
Sandpoint, ID 83864
Phone (208) 719-1854

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1184213142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S LAVINA AVE APT 1",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641145",
            "telephone_number": "208-719-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LAKE ST STE 305",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641366",
            "telephone_number": "208-719-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "STEPHANIE",
        "middle_name": "SHAWN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1184213142",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184213142",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1184213142",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ASPLUND",
            "middle_name": "SHAWN",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.