Carolyn Huntsman Hammer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

101 E Main St Ste 210
Rexburg, ID 83440-2017

Phone

(208) 357-3104

NPI assigned

Feb 5, 2025

Last updated

Mar 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 28, 2025 through Feb 28, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Integrated Counseling and Wellness, Inc.

  dba Integrated Counseling and Wellness

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1801274790
  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1730993056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 AUTUMNWOOD DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834068362",
            "telephone_number": "208-521-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 210",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402017",
            "telephone_number": "208-357-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "CAROLYN",
        "middle_name": "HUNTSMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layne E Hacking, DMD
• Sally Hacking, O.D.
• Emily Hackworth
• Joseph Michael Haeberle, NP
• Mark S. Hammar, PA-C
• Justin Hammer, DPT
• Maiya Hammer, PTA
• Ronald John Hammond, D.D.S.
• Victoria Hammond
• Jeffrey D Hancock, MD

• Professional Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.