Individual provider Active NPI

Gregory Sommers, LCP

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1780413773
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10460 Issued in ID
Practice address
1620 Northwest Blvd Ste 201
Coeur D Alene, ID 83814-2488
Phone
(208) 755-8781
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-10460 ID Primary

Addresses

Primary practice location

1620 Northwest Blvd Ste 201
Coeur D Alene, ID 83814-2488

Mailing address

1620 Northwest Blvd Ste 201
Coeur D Alene, ID 83814-2488
Phone (208) 755-8781

Other practice location 1

1620 Northwest Blvd Ste 201
Coeur D Alene, ID 83814-2488
Phone (208) 755-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-10460IDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1780413773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-755-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NORTHWEST BLVD STE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142488",
            "telephone_number": "208-755-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Northwest Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142488",
            "country_code": "US",
            "telephone_number": "208-755-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "GREGORY",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-10460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.