Individual provider Active NPI

Caroline Whitney Eggerth, LPC 3971961

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1417832353
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3971961 Issued in ID
Practice address
2647 Kimberly Rd Ste 2
Twin Falls, ID 83301-7976
Phone
(208) 734-1281
Fax
(208) 734-1282
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 3971961 ID Primary

Addresses

Primary practice location

2647 Kimberly Rd Ste 2
Twin Falls, ID 83301-7976

Mailing address

1018 Park Meadows Dr
Twin Falls, ID 83301-3216
Phone (208) 421-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3971961IDMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: caroline.eggerth.p1@direct.fhsid.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1417832353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PARK MEADOWS DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013216",
            "telephone_number": "208-421-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 KIMBERLY RD STE 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017976",
            "telephone_number": "208-734-1281",
            "fax_number": "208-734-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERTH",
        "first_name": "CAROLINE",
        "middle_name": "WHITNEY",
        "credential": "LPC 3971961",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "3971961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.