NPI age
19 years
Enumerated 2007-01-04
● Active Type 2 · Organization
Dr. Kracke And Associates P A
Dr. Kracke And Associates P A is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kracke
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
422 17th St
Lewiston, ID 835012526
Mailing address
Po Box 2145
Lewiston, ID 835011465
Authorized official
Kevin R. Kracke, PH.D.
President
📞 2087434680
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Imelda Daley, M.S. Counselor NPI 1760475347
- Carrie Gurgel, M.ED. Counselor NPI 1710970462
- Kevin Kracke, PH.D. Psychologist NPI 1164416749
- Paul Kwon, PH.D. Psychologist NPI 1861709990
- Delia Medlin, PH.D. Psychologist NPI 1558354290
- Teri Rainey, M.ED., L.P.C. Counselor NPI 1407049497
- Leta Storey, LCSW Social Worker NPI 1669712659
Specialties
-
Counselor PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | N4478 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010015963 | REGENCE BLUESHIELD OF IDA |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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