NPI age
19 years
Enumerated 2007-01-09
● Active
Type 1 · Individual
DR. Traci Alene Kettle
Kettle is 1 of 19 marriage & family therapist providers in Idaho Falls and 1 of 343 in Idaho.
Primary specialty
Marriage & Family Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
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
1 state
18% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
211 S Woodruff Ave Ste A3
Idaho Falls, ID 834014865
Mailing address
5261 Goldenridge Ct
Camarillo, CA 930124129
Specialties
-
Marriage & Family Therapist PrimaryA 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...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new marriage & family therapist provider has been added in Idaho Falls in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.