Laura Lee Shepherd Klosterman, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC-3937 Issued in ID

Practice address

548 Lomax St
Idaho Falls, ID 83401-2634

Phone

(208) 524-3733

Fax

(208) 524-3738

NPI assigned

Apr 19, 2012

Last updated

Apr 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Free Spirit Counseling & Consulting

  • Psychologist
  • Idaho Falls, ID
  • NPI 1326106238
  NPD (past)
• Pearl Health Clinic

  • Mental Health Counselor
  • Ammon, ID
  • NPI 1447426465
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1710244371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-524-3733",
            "fax_number": "208-524-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-524-3733",
            "fax_number": "208-524-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMAN",
        "first_name": "LAURA LEE",
        "middle_name": "SHEPHERD",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-3937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Klingler
• Kolby Tronier Klingler, D.M.D.
• William Kenneth Klingler, DMD
• Ashley Morgan Klink, PA-C
• Steven V Klippert, MD
• Tristian J Knight, LMSW
• Lynda Knouse
• Kenya Eve Knudsen
• Ronda Sue Knudsen, LPC
• Eric S Ko, DO

• Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.