Active NPI
Idaho Neuro Dynamics LLC
- Mental Health Counselor
- Sandpoint, ID
National Provider Identifier
1831049592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- IDAHO NEURO DYNAMICS LLC
- Practice address
- 901 Spruce St Apt a
Sandpoint, ID 83864-5024 - Phone
- (208) 603-9946
- NPI assigned
- Feb 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Dewig, MS, LMFT, QEEG-DL
- Title
- Ceo/Medical Director
- Phone
- (208) 603-9946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
901 Spruce St Apt a
Sandpoint, ID 83864-5024
Mailing address
901 Spruce St Apt a
Sandpoint, ID 83864-5024
Phone (208) 603-9946
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1831049592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SPRUCE ST APT A",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645024",
"telephone_number": "208-603-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SPRUCE ST APT A",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645024",
"telephone_number": "208-603-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDAHO NEURO DYNAMICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "DEWIG",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "208-603-9946",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, LMFT, QEEG-DL"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.