Individual provider Active NPI

Jefferson Hunt, LAMFT

  • Marriage & Family Therapist
  • Rexburg, ID
National Provider Identifier
1134670862
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-7471 Issued in ID
Practice address
534 Trejo St Ste 200J
Rexburg, ID 83440-5408
Phone
(208) 970-4517
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-7049 ID
Marriage & Family Therapist 106H00000X LMFT-7471 ID Primary

Addresses

Primary practice location

534 Trejo St Ste 200J
Rexburg, ID 83440-5408

Mailing address

45 S 3Rd E
Rexburg, ID 83440-2001
Phone (530) 638-5105

Other practice location 1

72 S 1st E
Rexburg, ID 83440-1902
Phone (208) 356-4900

Other practice location 2

322 E 1st N
Saint Anthony, ID 83445-1602
Phone (208) 356-4900

Other practice location 3

72 S 1st E
Rexburg, ID 83440-1902
Phone (208) 356-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-7049IDMDMarriage & Family Therapist
LMFT-7471IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Misty Mountains Therapy, LLC Current Accepting new patients
Upper Valley Community Health Services, Inc. PastSince Oct 1, 2019 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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1134670862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S 3RD E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402001",
            "telephone_number": "530-638-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TREJO ST STE 200J",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405408",
            "telephone_number": "208-970-4517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 S 1st E",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401902",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 E 1st N",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451602",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 S 1st E",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401902",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JEFFERSON",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-7049",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.