Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sidra Ann Larson, LCPC

Individual provider Mental Health Counselor · NPI 1942635735

Sidra Ann Larson, LCPC is a Mental Health Counselor in Boise, Idaho. Practices as a sole proprietor. Licensed in Arizona, Idaho and Utah.

Licensed in
AZ, ID, UT
In the registry since
2013
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1043 E Park Blvd Ste 101
Boise, ID 83712-7711
Phone: (208) 505-9786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5968 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 14237330-6004 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 24404 (AZ)

Record details

NPI number1942635735
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedSeptember 11, 2013
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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