P Praxis·MD
● Active Type 1 · Individual

Darwin Ray Kellicut, MSW

Marriage & Family Therapist·Coeur D Alene, ID· NPI 1417965781 · Enumerated 2006 · 19 years on NPI
Kellicut is 1 of 44 marriage & family therapist providers in Coeur D Alene and 1 of 343 in Idaho.
NPI age
19 years
Enumerated 2006-08-03
Primary specialty
Marriage & Family Therapist
Plus 3 subspecialties
Licensed in
WA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 343 active marriage & family therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1420 Lincoln Way Ste 500
Coeur D Alene, ID 838142391
📞 2086678474fax 2086655704
Mailing address
1420 Lincoln Way Ste 500
Coeur D Alene, ID 838142391
📞 2086678474fax 2086655704

Specialties

  • Marriage & Family Therapist Primary
    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...
    WA license #LF00001127ID license #LMFT 3089 taxonomy 106H00000X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LCSW 179WA license #LW00004911 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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