Nathan Joel Lausch

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-42825 Issued in ID

Practice address

1920 E 17TH St Ste 330
Idaho Falls, ID 83404-8036

Phone

(208) 534-8303

Fax

(208) 277-2202

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Human Dynamics and Diagnostics LLCGroup PAC ID 1153644547, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Human Dynamics and Diagnostics, LLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1346368198
  Medicare reassignment Care Compare group NPD
• Adolpho Enterprise LLC.

  dba One Love Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1932454642
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1841068871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 N 6000 W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403048",
            "telephone_number": "360-790-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048036",
            "telephone_number": "208-534-8303",
            "fax_number": "208-277-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 E 25th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047523",
            "country_code": "US",
            "telephone_number": "208-991-4296",
            "fax_number": "208-656-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUSCH",
        "first_name": "NATHAN",
        "middle_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-42825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latino Stand Up
• Latino Stand Up Idaho LLC (Latino Stand Up)
• Latino Stand Up Idaho LLC (Latino Stand Up LLC)
• Gary J Lattimore, OD
• Danielle Lauricella, PHD, LMFT
• Randall James Law, PA-C
• Kelly Lawrence, M.ED.
• LDS Family Services (LDS Family Services ID Idaho Falls)
• LDS Family Services
• Matthew Carter Leal, RBT

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.