Kathryn Barnes I, LPC
Individual provider Active NPI Professional Counselor · Idaho Falls, ID
NPI 1306408976 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1306408976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC-8453 (ID)
- Practice address
- 3729 Woodking Dr Ste 1
Idaho Falls, ID 83404-4720 - Phone
- (208) 534-5299
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-7347 | ID | MD | Counselor |
| LCPC-8453 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-7347 | ID | |
| Professional Counselor | 101YP2500X | LCPC-8453 | ID | Yes |
Addresses
Primary practice location
3729 Woodking Dr Ste 1
Idaho Falls, ID 83404-4720
Mailing address
13961 N 5TH W
Idaho Falls, ID 83401-5109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-7347 | Other | ID | LICENSE # |
Other providers in Idaho Falls, ID
- Douglas Steven Barnard
- Steven Abbott Barnard
- Brittiny Barnes
- James Garner Barnes
- James Taylor Barnes
- Kristal Danielle Barnes
- Malinda Barnes
- Rachel Maria Barnes
- Abbey Jo Barney
- Gene Ryan Barney
All providers in Idaho Falls, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.