Active NPI
Ananda Marie Lettner, LCPC
- Mental Health Counselor
- Ammon, ID
National Provider Identifier
1417619552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8331275
- Practice address
- 2705 E 17TH St
Ammon, ID 83406-6669 - Phone
- (208) 346-7500
- Fax
- (208) 346-7501
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8331275 | ID | Primary |
Addresses
Primary practice location
2705 E 17TH St
Ammon, ID 83406-6669
Mailing address
2705 E 17TH St
Ammon, ID 83406-6601
Phone (208) 346-7500
Other names 1
- Ananda Marie Easley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aeasley@pearlhealth.org | Direct | PEARL HEALTH CLINIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8331275 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Health Clinic | Mental Health | Current | Accepting new patients |
Locations
2705 E 17th St
Ammon, ID 83406
725 S Woodruff Ave
Ste 101
Idaho Falls, ID 83401
500 S 11th Ave
Ste 203
Pocatello, ID 83201
Phone (208) 232-5902
1350 Baldy Ave
Ste A
Pocatello, ID 83201
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Ammon, ID
- NPI 1447426465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1417619552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066601",
"telephone_number": "208-346-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066669",
"telephone_number": "208-346-7500",
"fax_number": "208-346-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTNER",
"first_name": "ANANDA",
"middle_name": "MARIE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "8331275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aeasley@pearlhealth.org",
"affiliation": "Y",
"endpointDescription": "work email address",
"affiliationName": "PEARL HEALTH CLINIC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2705 E 17th St",
"city": "Ammon",
"state": "ID",
"country_code": "US",
"postal_code": "834066601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANANDA",
"last_name": "EASLEY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.