Traci Kettle
Traci Kettle is a Marriage & Family Therapist in Idaho Falls, ID, registered under NPI 1679622971. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 211 S WOODRUFF AVE STE A3, Idaho Falls, ID 83401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4694 | ID | Marriage & Family Therapist primary |
This provider holds licence 4694 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Marriage And Family Therapist
- PAC ID
- 2062857378
Medicare enrolment is recorded as approved under the provider type Practitioner - Marriage And Family Therapist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Marriage & Family Therapist covers
A 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 therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. NUCC Health Care Provider Taxonomy, code 106H00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679622971 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 9, 2007 |
| Last updated | Dec 9, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
211 S WOODRUFF AVE STE A3 Idaho Falls, ID 83401 (208) 524-4818 |
| Mailing address |
5261 GOLDENRIDGE CT Camarillo, CA 93012 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 6 | 2 | 2 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 3 | 2 | 4 | 9 | 5 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.