Organization Active NPI

Kristy Kuehfuss, PHD, PLLC

  • Clinical Psychologist
  • Lewiston, ID
National Provider Identifier
1063731586
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-202443 Issued in ID
Legal business name
KRISTY KUEHFUSS, PHD, PLLC
Practice address
1418 Grelle Ave
Lewiston, ID 83501-5830
Phone
(208) 631-5843
NPI assigned
May 24, 2010
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Kristy Anne KuehfussNPI 1114102274
Title
Owner
Phone
(208) 631-5843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-202443 ID Primary

Addresses

Primary practice location

1418 Grelle Ave
Lewiston, ID 83501-5830

Mailing address

1418 Grelle Ave
Lewiston, ID 83501-5262
Phone (208) 631-5843

Other practice location 1

111 Bever Grade Road
Lapwai, ID 83540
Phone (208) 843-7244 ext. 2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100616000866 ID Part B Supplier - Clinic/Group Practice 0648300749 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ID

National Provider Directory

National Provider Directory

Locations

1070 N Curtis Rd
Ste 210
Boise, ID 83706
Phone (208) 286-5196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1063731586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015262",
            "telephone_number": "208-631-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015830",
            "telephone_number": "208-631-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Bever Grade Road",
            "address_purpose": "LOCATION",
            "city": "Lapwai",
            "state": "ID",
            "postal_code": "83540",
            "country_code": "US",
            "telephone_number": "208-843-7244 x2880",
            "fax_number": "208-843-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTY KUEHFUSS, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KUEHFUSS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-631-5843"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-202443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.