Lakehaven Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAKEHAVEN COUNSELING PLLC

Practice address

21 W Commerce Dr Ste F
Hayden, ID 83835-9289

Phone

(208) 704-0046

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Sarah Hlebichuk, LCSWNPI 1285985101

Title

Owner

Phone

(208) 704-0046

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah E Hlebichuk, LCSW

  • Clinical Social Worker
  • Hayden, ID
  • NPI 1285985101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1831806124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350895",
            "telephone_number": "208-704-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W COMMERCE DR STE F",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359289",
            "telephone_number": "208-704-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEHAVEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "HLEBICHUK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-704-0046",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Labelle, MASSAGE THERAPIST
• Lake City Counseling Center
• Lake City Counseling Center
• Lake City Counseling Center
• Lake City Counseling Center LLC
• Jessica Lyn Laplante, ARNP
• Anneka Latham
• Haley Suzanne Law, LM, CPM
• Terra Lee Lawson-Gilbert, CSFA
• Karen L Lee, MPT

• Clinical Social Worker in Hayden, ID
• Providers in Hayden, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.