Individual provider Active NPI

Louann Stermer, LCPC

  • Professional Counselor
  • Ammon, ID
National Provider Identifier
1487884722
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-4957 Issued in ID
Practice address
1323 Ammon Park Dr
Ammon, ID 83406-4591
Phone
(208) 757-6577
Fax
(208) 757-6588
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 LCPC-4957 ID Primary

Addresses

Primary practice location

1323 Ammon Park Dr
Ammon, ID 83406-4591

Mailing address

1323 Ammon Park Dr
Ammon, ID 83406-4591
Phone (208) 757-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2024 through Dec 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-4957IDMDProfessional Counselor

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1487884722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 AMMON PARK DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-757-6577",
            "fax_number": "208-757-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 AMMON PARK DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064591",
            "telephone_number": "208-757-6577",
            "fax_number": "208-757-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERMER",
        "first_name": "LOUANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2023-09-01",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.