Individual provider Active NPI

Sierra Faye Laricchiuti, LCMHCA, MT-BC

  • Counselor
  • Boone, NC
National Provider Identifier
1689498651
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A20772 Issued in NC
Practice address
838 State Farm Rd Ste 1
Boone, NC 28607-5364
Phone
(828) 209-8962
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A20772 NC Primary

Addresses

Primary practice location

838 State Farm Rd Ste 1
Boone, NC 28607-5364

Mailing address

838 State Farm Rd Ste 1
Boone, NC 28607-5364
Phone (828) 209-8962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A20772NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1689498651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075364",
            "telephone_number": "828-209-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD STE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075364",
            "telephone_number": "828-209-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARICCHIUTI",
        "first_name": "SIERRA",
        "middle_name": "FAYE",
        "credential": "LCMHCA, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A20772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.