Individual provider Active NPI

Tracy Thompson-Benedictus, LCPC

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1275966533
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-5383 Issued in ID
Practice address
1411 Falls Ave E Ste 703
Twin Falls, ID 83301-3455
Phone
(208) 737-0572
Fax
(208) 734-9441
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-5383 ID Primary

Addresses

Primary practice location

1411 Falls Ave E Ste 703
Twin Falls, ID 83301-3455

Mailing address

1411 Falls Ave E Ste 703
Twin Falls, ID 83301-3455
Phone (208) 737-0572

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
I20241029000802 ID Practitioner - Mental Health Counselor 5193258218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Family Services Inc 8 clinicians

Practice addresses (Care Compare)

1411 Falls Ave E
Suite 703
Twin Falls, ID 83301-3455
Phone (208) 737-0572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-5383IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Services, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Alliance Family Services North, Inc, Past Accepting new patients

Locations

550 Polk St
#A
Twin Falls, ID 83301
Phone (208) 736-7090

1411 Falls Ave E
Ste 703
Twin Falls, ID 83301
Phone (208) 734-8973

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1275966533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-737-0572",
            "fax_number": "208-734-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-737-0572",
            "fax_number": "208-734-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-BENEDICTUS",
        "first_name": "TRACY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.