Individual provider Active NPI

Daniel Stephen Felix, LMFT

  • Marriage & Family Therapist
  • Rigby, ID
National Provider Identifier
1114227055
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10405 Issued in ID
Practice address
4002 E 397 N
Rigby, ID 83442-5456
Phone
(208) 528-7655
NPI assigned
Oct 26, 2010
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 1228 SD
Marriage & Family Therapist 106H00000X 10405 ID Primary

Addresses

Primary practice location

4002 E 397 N
Rigby, ID 83442-5456

Mailing address

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

Other identifiers 3

IdentifierTypeStateIssuer
10405OtherIDLMFT
1228OtherSDSOUTH DAKOTA LICENSE
9251OtherNENE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241002001115 ID Practitioner - Marriage and Family Therapist 9739610783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians

Practice addresses (Care Compare)

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10405IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Idaho, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Community Council of Idaho, Inc CurrentSince Aug 12, 2024 Accepting new patients
Center for Family Medicine PastSince Jan 13, 1992 Accepting new patients
Center for Family Medicine PastSince Dec 12, 2021 Accepting new patients
Community Council of Idaho, Inc. Past Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

4002 E 397 N
Rigby, ID 83442
Phone (208) 228-2200

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Organizations & group practices 5

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1114227055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-528-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 E 397 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425456",
            "telephone_number": "208-528-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "DANIEL",
        "middle_name": "STEPHEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "10405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "10405",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA LICENSE",
            "identifier": "1228",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE",
            "identifier": "9251",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

Verify at the official NPI Registry.