Kendyl Kissell, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9201 Issued in ID

Practice address

919 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 758-0560

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kendyll Hamilton Former name

Medicare fee-for-service enrollment

Enrolled in ID

Opted out of Medicare

Yes, effective Jun 23, 2026 through Jun 23, 2028

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Family Healthcare PLLC

  • Family Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1063764462
  Medicare reassignment NPD
• Own Family Medicine and Wellness LLC Dba Active Family Healthcare

  • Family Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1942116884
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1073283461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-758-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-758-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Fair St",
            "address_purpose": "LOCATION",
            "city": "Buhl",
            "state": "ID",
            "postal_code": "833166442",
            "country_code": "US",
            "telephone_number": "208-539-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSELL",
        "first_name": "KENDYL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "9201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDYLL",
            "last_name": "HAMILTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James V. Kirby, M.D.
• Amanda Jean Kirk
• Keith A Kirscher, PT
• Glynda Kish, OFFICE COORDINATOR
• Danielle Nichole Kisler, LPC
• Jazmine Nichole Kitchen
• Philip A Kladar, MD
• Rebecca Julianne Klaeui
• Liliya V Klasing, PHARMD
• Mia Kleepsies

• Professional Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.