Lucia Sandoval, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-4264 Issued in ID

Practice address

1199 W Shoreline LN
Boise, ID 83702-6813

Phone

(208) 954-4691

NPI assigned

Feb 4, 2010

Last updated

Feb 4, 2010By 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

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1720310519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 E MISTYWOODS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066902",
            "telephone_number": "208-954-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W SHORELINE LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026813",
            "telephone_number": "208-954-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "LUCIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranan Grace Sandmeyer, NP-C
• Tamara Sandmeyer, NP-C
• Sandoval Center for Medicine, Chartered
• Audra Sandoval, PHARMD, BCPS, MSCP
• Elia Sandoval
• Ronald T. Sandow, NP-C
• Alan Neil Sands, O.D.
• Charles Sands, PT
• Cathy Diane Sandstrom, MD
• Julia Anne Sanford Biggerstaff, M.S., PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.