IndividualActive
Jedidiah Dykstra
NPI 1972043966 · Marriage & Family Therapist · Meridian, ID
Provider details
- NPI number
- 1972043966
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2596 N Stokesberry Pl Ste 180
Meridian, ID 83646-6282
Phone: (208) 590-5739
Street-level locationGet directions
Mailing address
2596 N Stokesberry Pl Ste 180
Meridian, ID 83646-6282
Registry dates
- Enumerated
- 2017-02-24
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.