Individual provider Active NPI

Brenda P Stegelmeier, LPC

  • Counselor
  • Idaho Falls, ID
National Provider Identifier
1194472951
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-8966 Issued in ID
Practice address
2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Phone
(208) 524-7400
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-8966 ID Primary

Addresses

Primary practice location

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902

Mailing address

2155 E 105 N
Idaho Falls, ID 83401-5439
Phone (208) 716-3094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110002973 ID Practitioner - Mental Health Counselor 7416485974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-8966IDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tueller Counseling Inc Counselor CurrentSince Dec 3, 2024 Accepting new patients
Tueller Counseling Inc PastSince May 18, 2025 Accepting new patients

Locations

2275 W Broadway St
Ste G
Idaho Falls, ID 83402
Phone (208) 524-7400

2265 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-7400

420 W 4th S
Rexburg, ID 83440
Phone (208) 521-4443

Organizations & group practices 2

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1194472951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E 105 N",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015439",
            "telephone_number": "208-716-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W BROADWAY ST STE G",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022902",
            "telephone_number": "208-524-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGELMEIER",
        "first_name": "BRENDA",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.