LAURIE YATES (LCPC) – Counselor, NPI 1073882619

LAURIE YATES (LCPC) is a healthcare provider. based in Chubbuck, Idaho. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. LCPC-4610 (ID). The NPI Number for LAURIE YATES (LCPC) is 1073882619

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE YATES (LCPC)
NPI
1073882619
Phone
(208) 238-2120
Address
4650 HAWTHORNE RD
Enumeration Date
28 December 2011
Last Update Date
28 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085236727
Graduation Year
2007 (19 years ago)
PAC ID
9335666908
Group Practice PAC ID
8628391117
Professional Enrollment ID
I20250507001232
Address ID
ID834045919ID115XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

436 MENTAL HEALTH COUNSELOR in ID

Provider Addresses for LAURIE YATES (LCPC)

  • 4650 HAWTHORNE RD

    STE 3B

    CHUBBUCK, ID 832022376

    Phone: (208) 238-2120

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250507001232IMental Health CounselorIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628391117View full group profile
NameSpecialtyState
Mental Health CounselorID
-ID
-ID
Clinical Social WorkerTX
Clinical Social WorkerID

Reviews

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Frequently asked questions

Where can patients find LAURIE YATES (LCPC)'s NPI?
You can confirm LAURIE YATES (LCPC) with NPI 1073882619; it appears in the national provider directory.
Does this profile mean LAURIE YATES (LCPC) is currently active?
Yes — LAURIE YATES (LCPC) appears active in the national provider directory.
What field does LAURIE YATES (LCPC) work in?
You can think of LAURIE YATES (LCPC) as practicing within Counselor. Clinical services aligned with this taxonomy classification.
Where is LAURIE YATES (LCPC)'s primary listing?
We display Chubbuck, Idaho because that is what the record indicates for LAURIE YATES (LCPC).
How can I contact LAURIE YATES (LCPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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