Individual provider Active NPI

Shaylene Peninger, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1841539996
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW35524 Issued in ID
Practice address
3914 Summer Sun
Idaho Falls, ID 83404-8271
Phone
(208) 206-3153
NPI assigned
Feb 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW35524 ID Primary

Addresses

Primary practice location

3914 Summer Sun
Idaho Falls, ID 83404-8271

Mailing address

3914 Summer Sun
Idaho Falls, ID 83404-8271
Phone (208) 206-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160613000473 ID Practitioner - Clinical Social Worker 0941590483 Reassigns benefits to 1 organization
I20241029002823 WY Practitioner - Clinical Social Worker 0941590483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Country Behavioral HealthGroup PAC ID 0648454587, shared by 2 NPIs, 44 clinicians

Practice addresses (Care Compare)

1248 E 17TH St
Idaho Falls, ID 83404-6147
Phone (208) 542-1026

389 Adams St
Afton, WY 83110-5056
Phone (307) 885-9883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health CurrentSince Feb 1, 2020 Accepting new patients
High Country Behavioral Health CurrentSince Oct 10, 2024 Accepting new patients
High Country Behavioral Health CurrentSince Feb 1, 2020 Accepting new patients
High Country Behavioral Health Current Accepting new patients

Locations

1248 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-1026

2420 E 25th St
Idaho Falls, ID 83404
Phone (208) 542-1026

420 S 4th Ave
Pocatello, ID 83201
Phone (208) 478-9081

1841 Madora Ave
Douglas, WY 82633

190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764

821 Sage Ave
Kemmerer, WY 83101
Phone (307) 877-4466

721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156

121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1841539996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 SUMMER SUN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048271",
            "telephone_number": "208-206-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 SUMMER SUN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048271",
            "telephone_number": "208-206-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENINGER",
        "first_name": "SHAYLENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW35524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.