MEDICARE: MS. LAURA ANN ADAMS MS, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCPC-8811	ID

General Provider Information

NPI Number	:	1588223416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ANN ADAMS MS, LCPC

Provider Business Mailing Address
First Line	:	572 S DEVON AVE
Second Line	:
City	:	STAR
State	:	ID
Zip	:	83669-6156
Country	:	US
Telephone Number	:	208-284-8999
Fax Number	:	208-318-0218

Provider Business Practice Location Address
First Line	:	4477 W EMERALD ST STE C225
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-2076
Country	:	US
Telephone Number	:	208-996-3465
Fax Number	:	208-318-0218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	02/02/2026

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