KEATON JAKE SUITTER LPC
NPI 1639852668
Counselor - Mental Health in Idaho Falls, ID

Active since August 08, 2023PECOS EnrolledAccepts Medicare Assignment
502 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 346-7500 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keaton Jake Suitter Lpc NPPES

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

KEATON JAKE SUITTER LPC (NPI 1639852668) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LPC-9695) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639852668
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEATON JAKE SUITTERCredential: LPC
Location Address502 S WOODRUFF AVEIdaho Falls, ID 83401-5298
Mailing Address502 S Woodruff AveIdaho Falls, ID 83401-5298 · (208) 346-7500
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
NPI 1639852668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LPC-9695
502 S WOODRUFF AVE, Idaho Falls, ID 83401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keaton Jake Suitter Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052842507
PECOS Enrollment IDI20241008002194
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.

Other Providers at the Same Location NPPES 5

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

Social Worker
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Peer Specialist
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Peer Specialist
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401

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 Keaton Suitter's NPI number?

The NPI number for Keaton Suitter is 1639852668. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Keaton Suitter located?

Keaton Suitter practices at 502 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 346-7500.

What is Keaton Suitter's specialty?

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

Is Keaton Suitter enrolled in Medicare?

Yes. Keaton Suitter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keaton Suitter accept?

Health plans from Providence Health Plan, Select Health and University of Utah Health Plans list Keaton Suitter 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 Keaton Suitter was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.