Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Stites

Individual provider Mental Health Counselor · NPI 1881118131

Carmen Stites is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2017, 9 years ago. Practices with Human Dynamics and Diagnostics LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
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Practice location Address checks out

2267 Teton Plz
Idaho Falls, ID 83404-6486
Phone: (208) 522-0140
Fax: (208) 524-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1675 Curlew Dr, Ammon, ID 83406-4850 — (208) 523-5319

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-6628 (ID)

Record details

NPI number1881118131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2017
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Human Dynamics And Diagnostics Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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