Individual provider Active NPI

Amy S Schepcoff, LMFT

  • Marriage & Family Therapist
  • Idaho Falls, ID
National Provider Identifier
1518033208
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-7424 Issued in ID
Practice address
1904 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone
(208) 974-5200
Fax
(208) 936-7004
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC #46707 CA
Marriage & Family Therapist 106H00000X LMFT-7424 ID Primary

Addresses

Primary practice location

1904 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Mailing address

1904 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone (916) 871-8248

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
I20240729001387 ID Practitioner - Mental Health Counselor 0345786174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luke and Spencer Behavioral Health PLLCGroup PAC ID 5092167940, 9 clinicians

Practice addresses (Care Compare)

1904 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone (208) 974-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC #46707CAMDMarriage & Family Therapist
LMFT-7424IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Luke & Spencer Behavioral Health PLLC Community/Behavioral Health CurrentSince May 2, 2024 Accepting new patients

Locations

1904 Jennie Lee Dr
Idaho Falls, ID 83404
Phone (208) 520-7074

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1518033208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "916-871-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "208-974-5200",
            "fax_number": "208-936-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEPCOFF",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC #46707",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.