Individual provider Active NPI

Lawrence Edward Stanciu, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1255646618
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4583 Issued in ID
Practice address
5440 W Franklin Rd
Suite 101
Boise, ID 83705-1079
Phone
(208) 336-9076
Fax
(208) 336-9079
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4583 ID Primary

Addresses

Primary practice location

5440 W Franklin Rd
Suite 101
Boise, ID 83705-1079

Mailing address

5440 W Franklin Rd
Suite 101
Boise, ID 83705-1079
Phone (208) 336-9076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308003529 ID Practitioner - Mental Health Counselor 5193161420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-4583IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Balance Counseling LLC Professional CurrentSince Dec 18, 2023 Accepting new patients

Locations

1317 W Jefferson St
Boise, ID 83702
Phone (208) 429-9355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1255646618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD",
            "address_2": "SUITE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051079",
            "telephone_number": "208-336-9076",
            "fax_number": "208-336-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD",
            "address_2": "SUITE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051079",
            "telephone_number": "208-336-9076",
            "fax_number": "208-336-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIU",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.