Individual provider Active NPI

Shayna Kearn Norton, LMFT, CADC

  • Mental Health Counselor
  • Blackfoot, ID
National Provider Identifier
1023600582
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT-7650 Issued in ID
Practice address
288 N Shilling Ave
Blackfoot, ID 83221-2332
Phone
(208) 785-1047
NPI assigned
Feb 6, 2021
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LMFT-304MedicaidWY

Other names 1

  • Shayna Kearn Coffin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaynan@binghamcrisiscenter.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240102002006 ID Practitioner - Marriage and Family Therapist 1850741919 Reassigns benefits to 1 organization
I20240219003578 WY Practitioner - Marriage and Family Therapist 1850741919 Reassigns benefits to 1 organization

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 HealthGroup PAC ID 0648454587, shared by 2 NPIs, 44 clinicians

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

LicenseStateTypeSpecialty
11816IDMDAddiction (Substance Use Disorder) Counselor
LMFT-7650IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
High Country Behavioral Health Current Accepting new patients
High Country Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
High Country Behavioral Health CurrentSince Feb 6, 2024 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.

View all 13

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

Verify at the official NPI Registry.