DR. KATIE K SACCO LPC
NPI 1164188744
Counselor in Idaho Falls, ID

Active since November 09, 2021Opted out of Medicare · through Dec 10, 2026
1329 S AMMON PARK DR, IDAHO FALLS, ID 83406(208) 973-4442(208) 620-3027 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Nov 9, 2021 (2 updates tracked since 2021).

About Dr. Katie K Sacco Lpc NPPES

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

DR. KATIE K SACCO LPC (NPI 1164188744) is an individual counselor in Idaho Falls, Idaho, licensed in Idaho (LPC-6993) and active in the NPI registry since November 2021. She has opted out of Medicare through December 10, 2026.

NPPES Registry Identity

NPI1164188744
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. KATIE K SACCOCredential: LPC
Location Address1329 S AMMON PARK DRIdaho Falls, ID 83406-4591
Mailing Address1329 S Ammon Park DrIdaho Falls, ID 83406-4591 · (208) 973-4442 · Fax (208) 620-3027
Fax(208) 620-3027
Sole ProprietorYes
Enumeration DateNovember 9, 2021
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1164188744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in ID · LPC-6993
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1329 S AMMON PARK DR, Idaho Falls, ID 83406

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Katie K Sacco Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 10, 2024 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2024
Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Katie Sacco's NPI number?

The NPI number for Katie Sacco is 1164188744. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Katie Sacco located?

Katie Sacco practices at 1329 S Ammon Park Dr, Idaho Falls, ID 83406. The listed phone number is (208) 973-4442.

What is Katie Sacco's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Katie Sacco enrolled in Medicare?

No. Katie Sacco has opted out of Medicare through December 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katie Sacco was last updated on September 6, 2023. 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.