Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073264982 Individual Practitioner Male Practitioner

Jacob Gary Dyer

Counselor • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Jacob Dyer is a registered healthcare professional specializing in Counselor in Eagle, ID. Practice services are available at 1197 S RIVER FLOW WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1197 S River Flow Way

Eagle, ID 836166324

Telephone 2089210796

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Eagle, ID (507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-12
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID COUI-8653

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 12, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2022

Registered at 1197 S RIVER FLOW WAY, EAGLE, ID 836166324 (Tel: 2089210796)

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Updated Business Mailing Address January 12, 2022

Registered at 1197 S RIVER FLOW WAY, EAGLE, ID 836166324 (Tel: 2089210796)

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Provider Name / Credentials Updated January 12, 2022

Recorded as JACOB DYER

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2022

Counselor (License #COUI-8653 in ID)

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Initial NPI Registration & Enumeration January 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073264982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2022
Last Update: January 12, 2022
Sole Proprietor: Yes

Mailing Address

1197 S River Flow Way

Eagle, ID 836166324

Phone: 2089210796

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.