Active NPI
Laura Ann Cromwell, LCPC, LMFT
- Professional Counselor
- Boise, ID
National Provider Identifier
1194917146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC - 3007
- Practice address
- 815 W Washington St
Boise, ID 83702-5538 - Phone
- (208) 376-5683
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC - 3007 | ID | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT - 3072 | ID |
Addresses
Primary practice location
815 W Washington St
Boise, ID 83702-5538
Mailing address
3556 N Lena Ave
Boise, ID 83713-4727
Phone (208) 376-5683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC - 3007 | ID | MD | Professional Counselor |
| LMFT - 3072 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1194917146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3556 N LENA AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837134727",
"telephone_number": "208-376-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 W WASHINGTON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837025538",
"telephone_number": "208-376-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMWELL",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "LCPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC - 3007",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT - 3072",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.