Luminous Wisdom Sandplay Therapy and Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUMINOUS WISDOM SANDPLAY THERAPY AND COUNSELING PLLC

Practice address

250 S Skyline Dr Ste 3
Idaho Falls, ID 83402-3294

Phone

(208) 243-9152

Fax

(888) 240-1846

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Michele Marie Elsbree, LCSWNPI 1376981134

Title

Clinical Social Worker

Phone

(208) 243-9152

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Marie Elsbree, LMSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1376981134
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1508636770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 140",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048090",
            "telephone_number": "208-243-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S SKYLINE DR STE 3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023294",
            "telephone_number": "208-243-9152",
            "fax_number": "888-240-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS WISDOM SANDPLAY THERAPY AND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "ELSBREE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "208-243-9152",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Loyd, LPC
• Peter Ludwig, LMT.
• Mandy J Luis, LCSW
• Luke & Spencer Behavioral Health PLLC
• Lloyd Cody Luke, B.S.
• E Jolene Lund, AUD
• Kelsi Lund, MS, CCC-SLP
• Janice Annette Lundeen, CSW
• Martin Peter Lundell, O.D.
• Sarah Lupinski, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.