Active NPI
Lotus Counseling Services, LLC
- Clinical Social Worker
- Caldwell, ID
National Provider Identifier
1710427513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35506
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126556547 | Medicaid | ID | |
| 1417398140 | Other | ID | TYPE I NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Caldwell, ID
- NPI 1417398140
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.