Active NPI
Laura M. Brotherson, LMFT, CST, CFLE
- Marriage & Family Therapist
- Meridian, ID
National Provider Identifier
1851819486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6153
- Practice address
- Cherry Lane Counseling Center 403 W. Cherry Lane
Meridian, ID 83642 - Phone
- (208) 887-1911
- NPI assigned
- Sep 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6153 | ID | Primary |
Addresses
Primary practice location
Cherry Lane Counseling Center 403 W. Cherry Lane
Meridian, ID 83642
Mailing address
Cherry Lane Counseling Center
403 W. Cherry Lane
Meridian, ID 83642
Phone (208) 887-1911
Other practice location 1
The Marital Intimacy Institute
1875 N 1120 W, Pinnacle Park Complex
Provo, UT 84604
Phone (208) 631-6215
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6153 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851819486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHERRY LANE COUNSELING CENTER",
"address_2": "403 W. CHERRY LANE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-887-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHERRY LANE COUNSELING CENTER 403 W. CHERRY LANE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-887-1911"
}
],
"practiceLocations": [
{
"address_1": "The Marital Intimacy Institute",
"address_2": "1875 N 1120 W, Pinnacle Park Complex",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "84604",
"country_code": "US",
"telephone_number": "208-631-6215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROTHERSON",
"first_name": "LAURA",
"middle_name": "M.",
"credential": "LMFT, CST, CFLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "6153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.