JEDIDIAH DYKSTRA
NPI 1972043966
Marriage & Family Therapist in Meridian, ID

Active since February 24, 2017PECOS EnrolledAccepts Medicare Assignment
2596 N STOKESBERRY PL STE 180, MERIDIAN, ID 83646(208) 590-5739 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jedidiah Dykstra NPPES

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

JEDIDIAH DYKSTRA (NPI 1972043966) is an individual marriage & family therapist in Meridian, Idaho and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972043966
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJEDIDIAH DYKSTRA
Location Address2596 N STOKESBERRY PL STE 180Meridian, ID 83646-6282
Mailing Address2596 N Stokesberry Pl Ste 180Meridian, ID 83646-6282 · (208) 590-5739
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 24, 2017
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1972043966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2596 N STOKESBERRY PL STE 180, Meridian, ID 83646

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

Jedidiah Dykstra 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 ID3274072970
PECOS Enrollment IDI20240826003706
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 2

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

Marriage & Family Therapist
2596 N STOKESBERRY PL STE 180
MERIDIAN, ID 83646
Social Worker (Clinical)
2596 N STOKESBERRY PL STE 180
MERIDIAN, ID 83646

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 Jedidiah Dykstra's NPI number?

The NPI number for Jedidiah Dykstra is 1972043966. It was assigned to this individual provider in the NPPES registry on February 24, 2017.

Where is Jedidiah Dykstra located?

Jedidiah Dykstra practices at 2596 N Stokesberry Pl Ste 180, Meridian, ID 83646. The listed phone number is (208) 590-5739.

What is Jedidiah Dykstra's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jedidiah Dykstra enrolled in Medicare?

Yes. Jedidiah Dykstra 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 Jedidiah Dykstra accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Jedidiah Dykstra 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 Jedidiah Dykstra was last updated on March 28, 2024. 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.