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ITZEL LABRA
NPI 1104481530
Social Worker in Idaho Falls, ID

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
1970 E 17TH ST STE 208, IDAHO FALLS, ID 83404(208) 932-0668(208) 932-0809 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Itzel Labra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITZEL LABRA (NPI 1104481530) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW38542) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104481530
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameITZEL LABRA
Location Address1970 E 17TH ST STE 208Idaho Falls, ID 83404-8048
Mailing Address1970 E 17th St Ste 208Idaho Falls, ID 83404-8048 · (208) 932-0668 · Fax (208) 932-0809
Phone(208) 932-0668
Fax(208) 932-0809
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 1, 2019
✔ NPI 1104481530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW38542
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1970 E 17TH ST STE 208, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Itzel Labra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547606584
PECOS Enrollment IDI20240312003199
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Itzel Labra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

4 Pillars Of Success LLC
0.9 mi
Clinic/Center
1675 CURLEW DR
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 27 clinicians in this Medicare group
NPI 1457698565 (208) 523-5319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA GALBRAITH LPC
Counselor (Mental Health)
1970 E 17TH ST STE 208
IDAHO FALLS, ID 83404
Bonneville County (208) 932-0668
BECKY HONE LMSW
Social Worker
1970 E 17TH ST STE 208
IDAHO FALLS, ID 83404
Bonneville County (208) 932-0668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Itzel Labra's NPI number?

The NPI number for Itzel Labra is 1104481530. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Itzel Labra located?

Itzel Labra practices at 1970 E 17th St Ste 208, Idaho Falls, ID 83404. The listed phone number is (208) 932-0668.

What is Itzel Labra's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Itzel Labra enrolled in Medicare?

Yes. Itzel Labra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Itzel Labra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Itzel Labra reassigns Medicare benefits to 4 Pillars Of Success LLC (Ammon, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Itzel Labra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Itzel Labra accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Itzel Labra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Itzel Labra was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.