P Praxis·MD
● Active Type 1 · Individual

Keaton Jake Suitter, LPC

Counselor·Idaho Falls, ID· NPI 1639852668 · Enumerated 2023 · 2 years on NPI
Suitter is 1 of 138 counselor providers in Idaho Falls and 1 of 1998 in Idaho.
NPI age
2 years
Enumerated 2023-08-08
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-08Enumerated in NPPES
2023 2026

Where they practice

Practice location
502 S Woodruff Ave
Idaho Falls, ID 834015298
📞 2083467500
Mailing address
502 S Woodruff Ave
Idaho Falls, ID 834015298
📞 2083467500

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-9695 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new counselor providers have been added in Idaho Falls in the last 180 days. See all →
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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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