Bigfoot Counseling, LLC
Organization Active NPI Mental Health Counselor · Post Falls, ID
NPI 1770105850 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1770105850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BIGFOOT COUNSELING, LLC
- Practice address
- 570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437 - Phone
- (208) 777-2169
- Fax
- (208) 777-2189
- NPI assigned
- May 12, 2020
- Organization subpart
- No
Authorized official
- Name
- Matthew Tyson Hansen
- Title
- Owner
- Phone
- (208) 777-2169
Practitioners 14
-
Jennifer Fries, LPC
-
Sarah Hansen, M.ED., LCPC
-
Vincent Marchese, NP-C, PMHNP-BC
-
Mary Christenson, LCSW
-
Robert Emerick, M.ED
-
Marsha McCurdy, LCPC-8208
-
Jesse Owen Ogle, PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2343928 | Bigfoot Counseling LLC | Certificate of waiver | May 13, 2028 |
| 13D2343930 | Bigfoot Counseling LLC | Certificate of waiver | May 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220103000493 | ID | Part B Supplier - Clinic/Group Practice | 0143611079 |
Receives reassigned benefits from 5 practitioners Practice locations: Post Falls, ID |
National Provider Directory
Locations
610 W Hubbard Ave
Ste 124
Coeur D Alene, ID 83814
Phone (208) 777-2169
570 S Clearwater Loop
Ste B
Post Falls, ID 83854
Phone (208) 777-2169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | Yes | ||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X |
Addresses
Primary practice location
570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437
Mailing address
570 S Clearwater Loop Ste B
Post Falls, ID 83854-5437
Phone (208) 777-2169
Other practice location 1
610 W Hubbard Ave Ste 124
Coeur D Alene, ID 83814-2286
Phone (208) 777-2169
Other providers in Post Falls, ID
- Ashley Ann Bertagnole
- Lyndi Marie Bertman
- Raymond J Bertoni
- Emily Betnar
- Bhyy Home Care LLC
- Brad Wayne Billington
- Stephen Anthony Blas
- Stephanie Danae Blaser
- Tanya Sue Blaty
- Jamison Andrew Blenker
All providers in Post Falls, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.