Kurt D. Layton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36509 Issued in ID

Practice address

337 Joel
Chubbuck, ID 83202

Phone

(208) 380-2842

NPI assigned

Jan 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cognitivehealinginstitute.kurtdlayton@160522.advancedmd-direct.com

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.

• Cognitive Healing Institute LLC

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1427897271
  Medicare reassignment NPD Authorized official
• Mental Health Specialists

  • Clinical Social Worker
  • Chubbuck, ID
  • NPI 1548585458
  Medicare reassignment NPD
• Moonlight Mountain Recovery, Inc

  • Substance Abuse Rehabilitation Facility
  • Pocatello, ID
  • NPI 1861983413
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1336562412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 JOEL ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022084",
            "telephone_number": "208-380-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 JOEL",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-380-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 W Moonlight Mine Rd",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832019013",
            "country_code": "US",
            "telephone_number": "208-505-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "KURT",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "33555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "36509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Koster, PA-C
• Barbara Krichbaum, L.P.C.
• Zayne B Lanier
• Lisa K Larsen, LMSW
• Jennifer Petty Layton, LSW
• Brent Leavitt
• Haley N Ledbetter, DPT
• Joseph Daniel Lenihan, LCSW
• Jade Letourneau, LPC
• Amanda Lettig, MS SLP

• Clinical Social Worker in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.