Active NPI
James F Bakaitis, LCPC
- Professional Counselor
- Chubbuck, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-10469
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-10469 | ID | MD | Professional Counselor |
| 180-004071 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialists | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.