ELIZABETH WHITEHEAD LCPC
NPI 1033469572
Counselor - Mental Health in Ammon, ID

Active since September 12, 2012Opted out of Medicare · through Dec 18, 2026
1323 AMMON PARK DR, AMMON, ID 83406(208) 932-8350(208) 938-2330 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Whitehead Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH WHITEHEAD LCPC (NPI 1033469572) is an individual mental health provider in Ammon, Idaho, licensed in Idaho (LCPC-5751) and active in the NPI registry since September 2012. She has opted out of Medicare through December 18, 2026.

NPPES Registry Identity

NPI1033469572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH WHITEHEADCredential: LCPC
Location Address1323 AMMON PARK DRAmmon, ID 83406-4591
Mailing Address1323 Ammon Park DrAmmon, ID 83406-4591 · (208) 932-8350 · Fax (208) 938-2330
Fax(208) 938-2330
Sole ProprietorYes
Enumeration DateSeptember 12, 2012
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1033469572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in ID · LCPC-5751 Licensed in ID · LPC-5070
1323 AMMON PARK DR, Ammon, ID 83406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Elizabeth Whitehead Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1323 AMMON PARK DR
AMMON, ID 83406
Counselor (Professional)
1323 AMMON PARK DR
AMMON, ID 83406
Counselor (Mental Health)
1323 AMMON PARK DR
AMMON, ID 83406
Counselor (Professional)
1323 AMMON PARK DR
AMMON, ID 83406
Counselor (Professional)
1323 AMMON PARK DR
AMMON, ID 83406
Counselor (Professional)
1323 AMMON PARK DR
AMMON, ID 83406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Whitehead's NPI number?

The NPI number for Elizabeth Whitehead is 1033469572. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Elizabeth Whitehead located?

Elizabeth Whitehead practices at 1323 Ammon Park Dr, Ammon, ID 83406. The listed phone number is (208) 932-8350.

What is Elizabeth Whitehead's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Elizabeth Whitehead enrolled in Medicare?

No. Elizabeth Whitehead has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elizabeth Whitehead accept?

Health plans from PacificSource Health Plans, Select Health and University of Utah Health Plans list Elizabeth Whitehead as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Whitehead was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.