Individual provider Active NPI

Brittany Kaaiakamanu, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1093475774
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-45065 Issued in ID
Practice address
3393 Merlin Dr Ste a
Idaho Falls, ID 83404-7490
Phone
(208) 643-5343
Fax
(405) 259-0767
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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
Clinical Social Worker 1041C0700X LCSW-45065 ID Primary

Addresses

Primary practice location

3393 Merlin Dr Ste a
Idaho Falls, ID 83404-7490

Mailing address

3389 Merlin Dr
Idaho Falls, ID 83404-7405
Phone (208) 643-5343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 3, 2026 through Feb 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-45065IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendence Healing LLC Current Accepting new patients
Eastunder Therapy LLC PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1093475774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 MERLIN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-643-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 MERLIN DR STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047490",
            "telephone_number": "208-643-5343",
            "fax_number": "405-259-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAIAKAMANU",
        "first_name": "BRITTANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-45065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.