Individual provider Active NPI

Carrie Gurgel, M.ED.

  • Mental Health Counselor
  • Lewiston, ID
National Provider Identifier
1710970462
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC836 Issued in ID
Practice address
422 17TH St
Lewiston, ID 83501-2526
Phone
(208) 743-4680
Fax
(208) 743-1756
NPI assigned
Aug 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC836 ID Primary

Addresses

Primary practice location

422 17TH St
Lewiston, ID 83501-2526

Mailing address

PO Box 2145
Lewiston, ID 83501-1465
Phone (208) 743-4680

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
I20240207002965 ID Practitioner - Mental Health Counselor 5294178174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kracke and Associates P aGroup PAC ID 1951206796, 3 clinicians

Practice addresses (Care Compare)

422 17TH St
Lewiston, ID 83501-2525
Phone (208) 743-4680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC836IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kracke and Associates P a Mental Health CurrentSince Jan 12, 2024 Accepting new patients

Locations

422 17th St
Lewiston, ID 83501
Phone (208) 743-4680

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710970462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2145",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011465",
            "telephone_number": "208-743-4680",
            "fax_number": "208-743-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 17TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012526",
            "telephone_number": "208-743-4680",
            "fax_number": "208-743-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGEL",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.