Individual provider Active NPI

Traci Lynn Muretisch, LPC

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1700560364
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-8970 Issued in ID
Practice address
826 Eastland Dr
Twin Falls, ID 83301-6858
Phone
(208) 732-7447
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-8970 ID Primary
Professional Counselor 101YP2500X LPC-8970 ID

Addresses

Primary practice location

826 Eastland Dr
Twin Falls, ID 83301-6858

Mailing address

826 Eastland Dr
Twin Falls, ID 83301-6858
Phone (208) 732-7447

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
I20240108005170 ID Practitioner - Mental Health Counselor 6608227285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-8970IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Mental Health Current Accepting new patients
Family Health Services Corporation Mental Health Current Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation CurrentSince Jan 1, 2024 Accepting new patients
Family Health Services Corporation Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Mental Health Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Past Accepting new patients
Family Health Services Corporation Mental Health Past Accepting new patients

Locations

1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

402 6th St
Rupert, ID 83350
Phone (208) 650-7941

388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451

325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101

794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312

826 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-4061

Interoperability endpoints

  • Direct secure messaging: traci.jackson.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 11

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1700560364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016858",
            "telephone_number": "208-732-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016858",
            "telephone_number": "208-732-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURETISCH",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8970",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-8970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.