Jennifer Elizabeth Ott, LCPC
Individual provider Active NPI Counselor · Sandpoint, ID
NPI 1346901345 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1346901345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 8587 (ID)
- Practice address
- 102 S Euclid Ave Ste 310
Sandpoint, ID 83864-4938 - Phone
- (208) 410-8364
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8587 | ID | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8587 | ID | Yes |
Addresses
Primary practice location
102 S Euclid Ave Ste 310
Sandpoint, ID 83864-4938
Mailing address
PO Box 685
Sandpoint, ID 83864-0685
Phone (208) 217-4507
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. 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.