JEREMY KENDALL LPC, QMHP, LAC
NPI 1770961500
Counselor - Mental Health in Coeur D Alene, ID
About Jeremy Kendall Lpc, Qmhp, Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY KENDALL LPC, QMHP, LAC (NPI 1770961500) is an individual mental health provider in Coeur D Alene, Idaho and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeremy Kendall Lpc, Qmhp, Lac 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Kendall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
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 Jeremy Kendall's NPI number?
The NPI number for Jeremy Kendall is 1770961500. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Jeremy Kendall located?
Jeremy Kendall practices at 3700 W Seltice Way, Coeur D Alene, ID 83814. The listed phone number is (208) 620-5255.
What is Jeremy Kendall's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeremy Kendall enrolled in Medicare?
Yes. Jeremy Kendall 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.
Which organization bills Medicare for Jeremy Kendall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Kendall reassigns Medicare benefits to Dirne Health Centers, Inc. (Coeur D Alene, ID). The 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 Jeremy Kendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Kendall accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jeremy Kendall 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 Jeremy Kendall was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jeremy Kendall, LPC, QMHP, LAC · NPI 1770961500
Mental Health provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1770961500 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 W SELTICE WAY, Coeur D Alene, ID 83814-8921
- **Phone:** (208) 620-5255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dirne Health Centers, Inc. (NPI 1255756730, Coeur D Alene, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770961500) · Data from the CMS NPPES public registry.