P Praxis·MD
● Active Type 1 · Individual

DR. Kevin Richard Kracke, PH.D.

Psychologist·Lewiston, ID· NPI 1164416749 · Enumerated 2005 · 20 years on NPI
Kracke is 1 of 8 psychologist providers in Lewiston and 1 of 196 in Idaho.
NPI age
20 years
Enumerated 2005-09-09
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-03-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
422 17th St
Lewiston, ID 835012526
📞 2087434680fax 2087431756
Mailing address
Po Box 2145
Lewiston, ID 835011465
📞 2087434680fax 2087431756

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY189 taxonomy 103T00000X

Identifiers

TypeValueNotes
01 (ID) N4478 BLUE CROSS OF IDAHO
01 (ID) 000010015963 BLUESHIELD OF IDAHO
05 (ID) 806177700

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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