Shayne M. Aguirre, LPC, NCC, QSUDP
Individual provider Active NPI Mental Health Counselor · Saint Maries, ID
NPI 1184968091 · NPPES record last updated Feb 5, 2026
Key facts
- NPI
- 1184968091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-4990 (ID)
- Practice address
- 618 W College Ave
Saint Maries, ID 83861-5010 - Phone
- (208) 680-9042
- Fax
- (877) 471-2556
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dirne Health Centers Inc
Practice addresses (Care Compare)
120 S 13TH St
St Maries, ID 83861-1627
Phone (208) 245-4363
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102000683 | ID | Practitioner - Mental Health Counselor | 5193175206 | Practice locations: Saint Maries, ID |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-4990 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dirne Health Centers, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Brevity Treatment Services LLC | Professional | Current | Accepting new patients |
| Aces Inc. | Professional | Past | Accepting new patients |
Locations
1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005
740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267
120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363
Interoperability endpoints
- shayne.aguirre.1@16899.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-4990 | ID | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC-4990 | ID | |
| Professional Counselor | 101YP2500X | LPC-4990 | ID |
Addresses
Primary practice location
618 W College Ave
Saint Maries, ID 83861-5010
Mailing address
PO Box 266
Fernwood, ID 83830-0266
Phone (208) 568-1398
Other providers in Saint Maries, ID
- Michael David Abrahams
- Clinton W. Aldrich
- Alliance Family Services
- Alliance Family Services North, Inc.
- Shannon Allman
- Alternative Community Enrichment Services, Inc
All providers in Saint Maries, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.