NPIMap

Organization Active NPI

Bigfoot Counseling, LLC

  • Mental Health Counselor
  • Post Falls, ID
National Provider Identifier
1770105850
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 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
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Matthew Tyson Hansen
Title
Owner
Phone
(208) 777-2169

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220103000493 ID Part B Supplier - Clinic/Group Practice 0143611079 Receives reassigned benefits from 5 practitioners
Practice locations: Post Falls, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2343928Bigfoot Counseling LLC610 W Hubbard Ave Ste 124, Coeur D'Alene, ID 83814Certificate of waiverMay 13, 2028
13D2343930Bigfoot Counseling LLC570 S Clearwater LP Ste B, Post Falls, ID 83854Certificate of waiverMay 13, 2028

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1770105850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 S CLEARWATER LOOP STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545437",
            "telephone_number": "208-777-2169",
            "fax_number": "208-777-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 S CLEARWATER LOOP STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545437",
            "telephone_number": "208-777-2169",
            "fax_number": "208-777-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Hubbard Ave Ste 124",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142286",
            "country_code": "US",
            "telephone_number": "208-777-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIGFOOT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-777-2169"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.