Individual provider Active NPI

Janice Carol Rothmeyer, LCPC

  • Professional Counselor
  • Sandpoint, ID
National Provider Identifier
1396091658
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC6264 Issued in ID
Practice address
506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone
(208) 263-5393
Fax
(208) 265-2301
NPI assigned
Jul 24, 2012
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC3694 ID
Professional Counselor 101YP2500X LCPC6264 ID Primary

Addresses

Primary practice location

506 N 4TH Ave
Sandpoint, ID 83864-1513

Mailing address

506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (208) 263-5393

Other identifiers 1

IdentifierTypeStateIssuer
1427179746MedicaidID

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
I20240112000396 ID Practitioner - Mental Health Counselor 3072964279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandpoint Psychotherapy LLCGroup PAC ID 3072682061, 5 clinicians

Practice addresses (Care Compare)

506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (208) 263-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC3694IDMDCounselor
LCPC6264IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sandpoint Psychotherapy LLC CurrentSince Jan 1, 2024 Accepting new patients
Healing Partners Equestrian Program PastSince Jan 1, 2024 Accepting new patients

Locations

506 N Fourth Ave
Sandpoint, ID 83864
Phone (208) 263-5393

Organizations & group practices 2

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1396091658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N 4TH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641513",
            "telephone_number": "208-263-5393",
            "fax_number": "208-265-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N 4TH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641513",
            "telephone_number": "208-263-5393",
            "fax_number": "208-265-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMEYER",
        "first_name": "JANICE",
        "middle_name": "CAROL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC3694",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC6264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427179746",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.