Organization Active NPI

Laura a Cromwell, LLC

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1407197940
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-3007 Issued in ID
Legal business name
LAURA A CROMWELL, LLC
Practice address
2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276
Phone
(208) 376-5683
Fax
(208) 376-5690
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Laura Cromwell, LCPC
Title
Owner/Manager
Phone
(208) 376-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LCPC-3007 ID Primary

Addresses

Primary practice location

2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276

Mailing address

2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276
Phone (208) 376-5683

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1407197940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A CROMWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "CROMWELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-376-5683",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.