Organization Active NPI

Lotus Counseling Services, LLC

  • Clinical Social Worker
  • Caldwell, ID
National Provider Identifier
1710427513
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35506 Issued in ID
Legal business name
LOTUS COUNSELING SERVICES, LLC
Practice address
2006 Blaine St
Caldwell, ID 83605-4343
Phone
(208) 454-3430
Fax
(888) 972-1962
NPI assigned
Feb 28, 2017
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Sara L McClellin Helmer, LCSW
Title
Owner/Provider
Phone
(208) 454-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35506 ID Primary

Addresses

Primary practice location

2006 Blaine St
Caldwell, ID 83605-4343

Mailing address

2006 Blaine St
Caldwell, ID 83605-4343
Phone (208) 454-3430

Other identifiers 2

IdentifierTypeStateIssuer
126556547MedicaidID
1417398140OtherIDTYPE I NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317000846 ID Part B Supplier - Clinic/Group Practice 5395020101 Receives reassigned benefits from 1 practitioner
Practice locations: Caldwell, ID

National Provider Directory

National Provider Directory

Locations

107 S Kimball Ave
Ste 225
Caldwell, ID 83605
Phone (208) 727-7070

107 S Kimball Ave
Ste 245
Caldwell, ID 83605
Phone (208) 727-7070

2006 Blaine St
Caldwell, ID 83605
Phone (208) 454-3430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1710427513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054343",
            "telephone_number": "208-454-3430",
            "fax_number": "888-972-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054343",
            "telephone_number": "208-454-3430",
            "fax_number": "888-972-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MCCLELLIN HELMER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-454-3430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "35506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126556547",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1417398140",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.