P Praxis·MD
● Active Type 1 · Individual

MRS. Kaitlyn Drew Bisharat, LPC

Counselor·Blackfoot, ID· NPI 1376346411 · Enumerated 2025 · 1 years on NPI
Bisharat is 1 of 4 counselor providers in Blackfoot and 1 of 266 in Idaho.
NPI age
1 years
Enumerated 2025-03-31
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 266 active counselor providers in Idaho.

NPI age
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
2
In the 17% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
495 Emerald Ave
Blackfoot, ID 832213968
📞 2089324545fax 2088819038
Mailing address
62 S 1200 W
Blackfoot, ID 832216075
📞 2086817309

Specialties

  • Counselor Primary
    Definition to come...
    ID license #6861160 taxonomy 101YA0400X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    ID license #6861160 taxonomy 101Y00000X
  • Counselor
    Definition to come...
    ID license #6861160 taxonomy 101YP2500X

Practice context

Solo or small practice. No 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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