Individual provider Active NPI

David Routt, LCPC, NCC

  • Professional Counselor
  • Caldwell, ID
National Provider Identifier
1174973374
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-8037 Issued in ID
Practice address
211 E Logan St Ste 201
Caldwell, ID 83605-4883
Phone
(208) 454-1480
Fax
(208) 268-8444
NPI assigned
Jun 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 C9964 OR
Professional Counselor 101YP2500X LCPC-8037 ID Primary

Addresses

Primary practice location

211 E Logan St Ste 201
Caldwell, ID 83605-4883

Mailing address

211 E Logan St Ste 201
Caldwell, ID 83605-4883
Phone (208) 454-1480

Other identifiers 2

IdentifierTypeStateIssuer
1174973374MedicaidID
1083126023MedicaidID

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
I20240115001079 ID Practitioner - Mental Health Counselor 5799145017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9964ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Totius Therapies Inc Professional CurrentSince Jun 13, 2023 Accepting new patients

Locations

211 E Logan St
Ste B3
Caldwell, ID 83605
Phone (620) 221-9664

211 E Logan St
Ste 201
Caldwell, ID 83605
Phone (208) 454-1480

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1174973374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054883",
            "telephone_number": "208-454-1480",
            "fax_number": "208-268-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054883",
            "telephone_number": "208-454-1480",
            "fax_number": "208-268-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTT",
        "first_name": "DAVID",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9964",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174973374",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083126023",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.