Courtney Edmonson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-203726 Issued in ID

Practice address

579 W Hayden Ave
Hayden, ID 83835-9726

Phone

(509) 289-2642

NPI assigned

Jan 17, 2018

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Courtney Chapin Former name

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Hayden, ID
  • NPI 1396439873
  Medicare reassignment NPD Authorized official
• George Fox University

  • Athletic Trainer
  • Newberg, OR
  • NPI 1770613036
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1366950933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359726",
            "telephone_number": "509-289-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359726",
            "telephone_number": "509-289-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "COURTNEY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-203726",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61242191",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "13409800-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CHAPIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Kaari Dretke, LMT
• Eric Duncan, LMT
• Jeremy Albert Dye, M.P.T.
• Kayla M Ealy, LMSW
• Kristy L Easton, FNP-C
• Savanna Lynn Edson, PT
• Elevated Physical Therapy and Wellness LLC
• Megan Ellis
• Abigail Rebecca Emmons, LMT
• Kimberly Kay Endres, LMT

• Clinical Psychologist in Hayden, ID
• Providers in Hayden, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.