Individual provider Active NPI

Dustin S Price, LCSW

  • Mental Health Counselor
  • Chubbock, ID
National Provider Identifier
1093024622
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5092 Thurston St
Chubbock, ID 83202-2116
Phone
(208) 339-4728
NPI assigned
Sep 30, 2010
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

5092 Thurston St
Chubbock, ID 83202-2116

Mailing address

5092 Thurston St
Chubbuck, ID 83202-2116
Phone (208) 339-4728

Other practice location 1

5441 S MacAdam Ave # 8118
Portland, OR 97239-6106
Phone (971) 353-8207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR2 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
I20240829002925 NE Practitioner - Mental Health Counselor 7618300773 Reassigns benefits to 1 organization
I20250815002662 OR Practitioner - Clinical Social Worker 7618300773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Peace of Mind Behavioral HealthGroup PAC ID 7517341506, 8 clinicians

Practice addresses (Care Compare)

6301 Orchard St
Suite 3
Lincoln, NE 68505-1807
Phone (402) 520-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lgbtq Telepsychiatry CurrentSince Jun 1, 2025 Accepting new patients
Nebraska Peace of Mind Behavioral Health Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

1755 Coburg Rd
Unit 301
Eugene, OR 97401
Phone (458) 234-0082

1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1093024622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 THURSTON ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022116",
            "telephone_number": "208-339-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 THURSTON ST",
            "city": "CHUBBOCK",
            "state": "ID",
            "postal_code": "832022116",
            "telephone_number": "208-339-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5441 S MacAdam Ave # 8118",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972396106",
            "country_code": "US",
            "telephone_number": "971-353-8207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DUSTIN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.