Individual provider Active NPI

James F Bakaitis, LCPC

  • Professional Counselor
  • Chubbuck, ID
National Provider Identifier
1154492957
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-10469 Issued in ID
Practice address
210 W Burnside Ave Ste a
Chubbuck, ID 83202-4916
Phone
(313) 383-0033
Fax
(313) 383-0033
NPI assigned
Nov 13, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-10469 ID Primary
Professional Counselor 101YP2500X 180-004071 IL

Addresses

Primary practice location

210 W Burnside Ave Ste a
Chubbuck, ID 83202-4916

Mailing address

210 W Burnside Ave Ste a
Chubbuck, ID 83202-4916
Phone (208) 238-9000

Other practice location 1

34 Lavelle Ct. #A
Unalaska, AK 99685
Phone (907) 581-2742

Other practice location 2

1131 E International Airport Rd
Anchorage, AK 99518-1408
Phone (907) 581-2751 ext. 152

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
I20240829004342 ID Practitioner - Mental Health Counselor 3870032121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Mental Health SpecialistsGroup PAC ID 1658665427, 11 clinicians

Practice addresses (Care Compare)

210 W Burnside Ave
Suite a
Pocatello, ID 83202-4916
Phone (208) 238-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-10469IDMDProfessional Counselor
180-004071ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialists Professional CurrentSince Jun 1, 2024 Accepting new patients

Locations

210 W Burnside Ave
Ste A
Pocatello, ID 83202
Phone (208) 238-9000

Organizations & group practices 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1154492957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W BURNSIDE AVE STE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024916",
            "telephone_number": "208-238-9000",
            "fax_number": "208-238-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W BURNSIDE AVE STE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024916",
            "telephone_number": "313-383-0033",
            "fax_number": "313-383-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Lavelle Ct. #A",
            "address_purpose": "LOCATION",
            "city": "Unalaska",
            "state": "AK",
            "postal_code": "99685",
            "country_code": "US",
            "telephone_number": "907-581-2742",
            "fax_number": "907-581-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 E International Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995181408",
            "country_code": "US",
            "telephone_number": "907-581-2751 x152",
            "fax_number": "907-581-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKAITIS",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-10469",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.