Individual provider Active NPI

Lonnie M Stapp, LCPC

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1538539697
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-6878 Issued in ID
Practice address
1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682
Phone
(208) 771-5911
Fax
(208) 518-1258
NPI assigned
Oct 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-6878 ID Primary

Addresses

Primary practice location

1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682

Mailing address

1250 W Ironwood Dr Ste 303
Coeur D Alene, ID 83814-2682
Phone (208) 771-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240103003679 WA Practitioner - Mental Health Counselor 3971954975
I20240112000763 ID Practitioner - Mental Health Counselor 3971954975 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-6878IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Avalon Counseling, LLC CurrentSince Sep 1, 2024 Accepting new patients
Shashita Inamdar MD Professional Corporation PastSince Jan 1, 2024 Accepting new patients

Locations

348 W Parkcenter Blvd
Ste 120
Boise, ID 83706

2005 N Ironwood Pkwy
Ste 224
Coeur D Alene, ID 83814
Phone (208) 665-2468

1250 W Ironwood Dr
Ste 303
Coeur D Alene, ID 83814
Phone (208) 771-5911

1250 W Ironwood Dr
Ste 109
Coeur D Alene, ID 83814

Interoperability endpoints

  • Direct secure messaging: lonnie.stapp.p1@direct.sokya.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1538539697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-771-5911",
            "fax_number": "208-518-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-771-5911",
            "fax_number": "208-518-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "LONNIE",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.