Individual provider Active NPI

Courtney M Lossmann, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1700416773
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-44329 Issued in ID
Practice address
6126 W State St Ste 305
Boise, ID 83703-2741
Phone
(208) 781-0258
NPI assigned
Jan 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-44329 ID Primary

Addresses

Primary practice location

6126 W State St Ste 305
Boise, ID 83703-2741

Mailing address

6126 W State St Ste 305
Boise, ID 83703-2741
Phone (208) 781-0258

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL courtney@rollinghillscounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-44329IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Counseling Social Worker Current Accepting new patients

Locations

6126 W State St
Ste 310
Boise, ID 83703
Phone (208) 321-5538

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1700416773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 W STATE ST STE 305",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032741",
            "telephone_number": "208-781-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 W STATE ST STE 305",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837032741",
            "telephone_number": "208-781-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSSMANN",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "courtney@rollinghillscounseling.com",
            "affiliation": "N",
            "address_1": "6126 W State St Ste 310",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837032741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.