Active NPI
Shayna Kearn Norton, LMFT, CADC
- Mental Health Counselor
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT-7650
- Practice address
- 288 N Shilling Ave
Blackfoot, ID 83221-2332 - Phone
- (208) 785-1047
- NPI assigned
- Feb 6, 2021
- Last updated
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11816 | ID | |
| Mental Health Counselor | 101YM0800X | LMFT-7650 | ID | Primary |
| Professional Counselor | 101YP2500X | LMFT-7650 | ID | |
| Marriage & Family Therapist | 106H00000X | LMFT-7650 | ID |
Addresses
Primary practice location
288 N Shilling Ave
Blackfoot, ID 83221-2332
Mailing address
131 N 200 E
Blackfoot, ID 83221-5959
Phone (208) 716-1549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT-304 | Medicaid | WY |
Other names 1
- Shayna Kearn Coffin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shaynan@binghamcrisiscenter.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- High Country Behavioral Health
Practice addresses (Care Compare)
1248 E 17TH St
Idaho Falls, ID 83404-6147
Phone (208) 542-1026
389 Adams St
Afton, WY 83110-5056
Phone (307) 885-9883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11816 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| LMFT-7650 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients | |
| High Country Behavioral Health | Past | Accepting new patients |
Locations
1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026
420 S 4th Ave
Pocatello, ID 83201
Phone (208) 478-9081
1841 Madora Ave
Douglas, WY 82633
190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764
821 Sage Ave
Kemmerer, WY 83101
Phone (307) 877-4466
721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156
121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
- NPI 1295379865
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, WY
- NPI 1891099545
-
- Recovery Care Clinic/Center
- Pinedale, WY
- NPI 1063794394
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Douglas, WY
- NPI 1134890650
-
- Recovery Care Clinic/Center
- Evanston, WY
- NPI 1174805402
-
dba Wellspring Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Thermopolis, WY
- NPI 1235350034
-
- Recovery Care Clinic/Center
- Douglas, WY
- NPI 1467123984
-
- Community/Behavioral Health Agency
- Rawlins, WY
- NPI 1780712380
-
- Recovery Care Clinic/Center
- Kemmerer, WY
- NPI 1790067031
-
dba Wellspring Counseling
- Recovery Care Clinic/Center
- Thermopolis, WY
- NPI 1851512750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1023600582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N 200 E",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832215959",
"telephone_number": "208-716-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 N SHILLING AVE",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832212332",
"telephone_number": "208-785-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "SHAYNA",
"middle_name": "KEARN",
"credential": "LMFT, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-06",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "11816",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMFT-7650",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LMFT-7650",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-7650",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LMFT-304",
"state": "WY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shaynan@binghamcrisiscenter.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "288 N Shilling Ave",
"city": "Blackfoot",
"state": "ID",
"country_code": "US",
"postal_code": "832212332",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHAYNA",
"last_name": "COFFIN",
"middle_name": "KEARN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.