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STACI SUTHERLAND LMSW
NPI 1477219061
Social Worker - Clinical in Idaho Falls, ID

Active since November 09, 2021PECOS Enrolled
1262 E 17TH ST, IDAHO FALLS, ID 83404(208) 346-0688(208) 620-3027 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2026, Apr 22, 2022, Nov 9, 2021 (3 updates tracked since 2021).

About Staci Sutherland Lmsw NPPES

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

STACI SUTHERLAND LMSW (NPI 1477219061) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (39337) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477219061
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACI SUTHERLANDCredential: LMSW
Location Address1262 E 17TH STIdaho Falls, ID 83404-6126
Mailing Address1262 E 17th StIdaho Falls, ID 83404-6126 · (208) 346-0688 · Fax (208) 620-3027
Phone(208) 346-0688
Fax(208) 620-3027
Sole ProprietorNo
Enumeration DateNovember 9, 2021
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1477219061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 39337
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1262 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Names 1

Former Name (1)Staci Claver

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Sutherland Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Staci Sutherland reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Woodhouse Counseling LLC
Same address
Clinical
1262 E 17TH ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 12 clinicians in this Medicare group
NPI 1811349293 (208) 346-0688
4 Pillars Of Success LLC
1.6 mi
Clinic/Center
1675 CURLEW DR
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 27 clinicians in this Medicare group
NPI 1457698565 (208) 523-5319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MCKENZIE LEIGH DUNCAN LPC
Counselor (Professional)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
ROYCE WOODHOUSE
Social Worker (Clinical)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
AMY ELIZABETH MILLER LPC
Counselor (Professional)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
BRYNN NOEL POTERE
Social Worker (Clinical)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
MARK GUNTHER RODEL LPC
Counselor (Professional)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
AMANDA JOY TILLO LCPC
Counselor (Professional)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
SKYE MECHAM LMSW
Social Worker (Clinical)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688
JAYCE LEHMAN
Social Worker (Clinical)
1262 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-0688

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 Staci Sutherland's NPI number?

The NPI number for Staci Sutherland is 1477219061. It was assigned to this individual provider in the NPPES registry on November 9, 2021. The provider is also known as Staci Claver.

Where is Staci Sutherland located?

Staci Sutherland practices at 1262 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 346-0688.

What is Staci Sutherland's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Staci Sutherland enrolled in Medicare?

Yes. Staci Sutherland is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Staci Sutherland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Sutherland reassigns Medicare benefits to 2 organizations: Woodhouse Counseling LLC (Idaho Falls, ID) and 4 Pillars Of Success LLC (Ammon, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Sutherland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Staci Sutherland accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Staci Sutherland 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 Staci Sutherland was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.