P Praxis·MD
● Active Type 1 · Individual

Kandi Manley, LCPC

Counselor·Rexburg, ID· NPI 1306312657 · Enumerated 2018 · 7 years on NPI
Manley is 1 of 24 counselor providers in Rexburg and 1 of 1313 in Idaho.
NPI age
7 years
Enumerated 2018-10-14
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Practice location
2590 S 2000 W Ste 4
Rexburg, ID 834404028
📞 2089483423
Mailing address
2590 S 2000 W Ste 4
Rexburg, ID 834404028
📞 2089483423

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3453 Clearview Ln
Ammon, ID 834064702
📞 2083594840fax 2083599010
Location 3
393 E 2nd N
Rexburg, ID 834401605
📞 2083594840fax 2083599010

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-7239 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new counselor providers have been added in Rexburg in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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