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

John David Hattaway, LPC

Individual provider Professional Counselor · NPI 1447875059

John David Hattaway, LPC is a Mental Health Counselor in Salmon, Idaho. Qualified in 2002, 24 years ago. Practices with Lemhi Valley Social Services, Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
24
Licensed in
ID
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1301 Main St Ste 3B
Salmon, ID 83467-4452
Phone: (208) 756-2927
Fax: (208) 756-1518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-2798 (ID)

Record details

NPI number1447875059
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address1380 Benton St, Idaho Falls, ID 83401-4201

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lemhi Valley Social Services, Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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