Individual provider Active NPI

Linda Irene Larson, PH.D. LMFT

  • Marriage & Family Therapist
  • Sandpoint, ID
National Provider Identifier
1780206367
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8920 Issued in ID
Practice address
102 S Euclid Ave Ste 312
Sandpoint, ID 83864-4938
Phone
(208) 255-6057
NPI assigned
May 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT-8920 ID
Marriage & Family Therapist 106H00000X 8920 ID Primary

Addresses

Primary practice location

102 S Euclid Ave Ste 312
Sandpoint, ID 83864-4938

Mailing address

217 Cedar St # 177
Sandpoint, ID 83864-1410
Phone (208) 255-9227

Other identifiers 2

IdentifierTypeStateIssuer
LAMFT-7618OtherPH.D.
LAMFT-7618OtherLICENSED MARRIAGE AND FAMILY THERAPIST

Other names 1

  • Dr. Linda Irene Larson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL larsonspagon@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004695 ID Practitioner - Marriage and Family Therapist 3072049790 Practice locations: Sandpoint, ID

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

102 S Euclid Ave
Suite 312
Sandpoint, ID 83864-4938
Phone (208) 255-6057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8920IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Neurotherapy LLC Marriage & Family Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

102 S Euclid Ave
Ste 312
Sandpoint, ID 83864
Phone (208) 255-6057

217 Cedar St
Sandpoint, ID 83864

1009 Highway 2
Ste D
Sandpoint, ID 83864
Phone (208) 290-2457

1009 Highway 2
Sandpoint, ID 83864
Phone (208) 263-9080

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": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1780206367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CEDAR ST # 177",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641410",
            "telephone_number": "208-255-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S EUCLID AVE STE 312",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838644938",
            "telephone_number": "208-255-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LINDA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.  LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMFT-8920",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "8920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PH.D.",
            "identifier": "LAMFT-7618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LAMFT-7618",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "larsonspagon@icloud.com",
            "affiliation": "N",
            "address_1": "231 N 3rd Ave Ste 204",
            "city": "Sandpoint",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838641418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LARSON",
            "middle_name": "IRENE",
            "prefix": "DR.",
            "credential": "PHD, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.