Carmen Stites
NPI 1881118131ActiveIndividual· Counselor, Mental Health· Idaho Falls, ID
Counselor, Mental Health with Human Dynamics and Diagnostics LLC, practicing in Idaho Falls, Idaho. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1881118131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 28, 2017 |
| Last updated in NPPES | Nov 30, 2023 |
| Certified by provider | Nov 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LPC-6628 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Human Dynamics and Diagnostics LLCIdaho Falls, ID · 10 clinicians
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