Individual provider Active NPI

Shayne M. Aguirre, LPC, NCC, QSUDP

  • Mental Health Counselor
  • St Maries, ID
National Provider Identifier
1184968091
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-4990 Issued in 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
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-4990 ID Primary
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

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
I20240102000683 ID Practitioner - Mental Health Counselor 5193175206 Practice locations: Saint Maries, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, 82 clinicians

Practice addresses (Care Compare)

120 S 13TH St
St Maries, ID 83861-1627
Phone (208) 245-4363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-4990IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: shayne.aguirre.1@16899.direct.athenahealth.com

Organizations & group practices 3

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1184968091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "FERNWOOD",
            "state": "ID",
            "postal_code": "838300266",
            "telephone_number": "208-568-1398",
            "fax_number": "877-471-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W COLLEGE AVE",
            "city": "SAINT MARIES",
            "state": "ID",
            "postal_code": "838615010",
            "telephone_number": "208-680-9042",
            "fax_number": "877-471-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "SHAYNE",
        "middle_name": "M.",
        "credential": "LPC, NCC, QSUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4990",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "LPC-4990",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Maries, ID

Sources for this page

Verify at the official NPI Registry.