Mountain Laurel Therapy LLC
NPI 1548001522ActiveOrganization· Social Worker, Clinical· Twin Falls, ID
Social Worker, Clinical in Twin Falls, Idaho, registered in NPPES in June 2024. The authorized official on file is Amanda Lynn Overacre, Mental Health Therapist.
Overview
| NPI | 1548001522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2024 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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