Active NPI
Lonnie M Stapp, LCPC
- Mental Health Counselor
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-6878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-6878 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth LLC | Mental Health | Current | Accepting new patients |
| Avalon Counseling, LLC | Current | Accepting new patients | |
| Shashita Inamdar MD Professional Corporation | Past | 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
- lonnie.stapp.p1@direct.sokya.nextgenshare.com
- 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.
-
- Clinic/Center
- Coeur D Alene, ID
- NPI 1366099236
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.