Individual provider Active NPI

Stephen Dwight Yates, M.A., LMFT

  • Marriage & Family Therapist
  • Coeur D Alene, ID
National Provider Identifier
1235324468
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-6 Issued in ID
Practice address
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone
(208) 620-5250
Fax
(208) 807-3782
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-6 ID Primary

Addresses

Primary practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Mailing address

PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299

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
I20240115001105 ID Practitioner - Marriage and Family Therapist 4385000645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Dirne Health Centers IncGroup PAC ID 2466353354, 82 clinicians

Practice addresses (Care Compare)

Boise, ID 83702
Phone (323) 205-7088

3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone (208) 620-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Dirne Health Centers, Inc. Counselor Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 14, 2024 Accepting new patients
Dirne Health Centers, Inc. Counselor PastSince Nov 1, 2023 Accepting new patients

Locations

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

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

Organizations & group practices 4

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1235324468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299",
            "fax_number": "208-529-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W SELTICE WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838148921",
            "telephone_number": "208-620-5250",
            "fax_number": "208-807-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "STEPHEN",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.