MRS. DEANNA M FOFANOFF LCPC
NPI 1154646412
Counselor - Professional in Coeur D Alene, ID
About Mrs. Deanna M Fofanoff Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DEANNA M FOFANOFF LCPC (NPI 1154646412) is an individual professional provider in Coeur D Alene, Idaho, licensed in Idaho (LCPC-9195) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Deanna M Fofanoff Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Deanna Fofanoff's NPI number?
The NPI number for Deanna Fofanoff is 1154646412. It was assigned to this individual provider in the NPPES registry on March 30, 2010.
Where is Deanna Fofanoff located?
Deanna Fofanoff practices at 1620 Northwest Blvd Ste 201, Coeur D Alene, ID 83814. The listed phone number is (208) 651-2952.
What is Deanna Fofanoff's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Deanna Fofanoff enrolled in Medicare?
Yes. Deanna Fofanoff is registered in the Medicare PECOS enrollment system.
What insurance does Deanna Fofanoff accept?
Health plans from Providence Health Plan list Deanna Fofanoff 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 Deanna Fofanoff was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Mrs. Deanna M Fofanoff, LCPC · NPI 1154646412
Professional provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since March 30, 2010.
## Identity
- **NPI:** 1154646412 (Entity type: Individual)
- **Enumerated:** March 30, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LCPC-9195 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1620 NORTHWEST BLVD STE 201, Coeur D Alene, ID 83814-2488
- **Phone:** (208) 651-2952
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154646412) · Data from the CMS NPPES public registry.