1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Marriage Family Therapist
  6. NPI Profile

MISS LARA PATRICE GAGNE
NPI 1124170550
Marriage & Family Therapist in Coeur D Alene, ID

Active since January 17, 2007PECOS Enrolled
1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814(208) 930-1740(208) 930-1695 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Lara Patrice Gagne NPPES

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

MISS LARA PATRICE GAGNE (NPI 1124170550) is an individual marriage & family therapist in Coeur D Alene, Idaho, licensed in California (REG. INTERN 48617) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1124170550
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS LARA PATRICE GAGNE
Location Address1044 NORTHWEST BLVD STE CCoeur D Alene, ID 83814-2114
Mailing AddressPo Box 544Clayton, CA 94517-0544 · (925) 603-0186
Phone(208) 930-1740
Fax(208) 930-1695
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1124170550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · REG. INTERN 48617
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1044 NORTHWEST BLVD STE C, Coeur D Alene, ID 83814
Open in Google Maps ↗

Secondary Practice Location 1

Location 11410 Danzig Plz Ste 250Concord, CA 94520-7979 · Phone (925) 603-0186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan 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 (PECOS)

Miss Lara Patrice Gagne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lara Gagne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambitions Of Idaho, Inc
Same address
Mental Health (Including Community Mental Health Center)
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 9 clinicians in this Medicare group
NPI 1003145533 (208) 930-1740

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 15

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

AMBITIONS OF IDAHO, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
GILLIAN SHEFFIELD SCOVILLE LCSW
Social Worker (Clinical)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
MORGAN SUZANNE BRUCE LMSW
Counselor (Mental Health)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
SARA GRAY M.ED., CADC
Counselor (Addiction (Substance Use Disorder))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
TANYA RYAN LCSW
Social Worker (Clinical)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
SAMUEL NEAL LPC
Counselor (Professional)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
KRISTINA MARIE JONES-TARR LMSW
Social Worker
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 667-7777
MICHAEL GEORGESCU
Social Worker
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740

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 Lara Gagne's NPI number?

The NPI number for Lara Gagne is 1124170550. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Lara Gagne located?

Lara Gagne practices at 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814. The listed phone number is (208) 930-1740.

What is Lara Gagne's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lara Gagne enrolled in Medicare?

Yes. Lara Gagne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lara Gagne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Gagne reassigns Medicare benefits to Ambitions Of Idaho, Inc (Coeur D Alene, 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 Lara Gagne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Gagne accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Lara Gagne 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 Lara Gagne was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.