P Praxis·MD
● Active Type 1 · Individual

Kristi Southwick, LCPC

Counselor·Idaho Falls, ID· NPI 1396422408 · Enumerated 2023 · 2 years on NPI
Southwick is 1 of 80 counselor providers in Idaho Falls and 1 of 1313 in Idaho.
NPI age
2 years
Enumerated 2023-06-29
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

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

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
550 W Sunnyside Rd Ste 1
Idaho Falls, ID 834024642
📞 2085295777
Mailing address
1508 N Marchesa Ln
Idaho Falls, ID 834021220
📞 2082431249

Specialties

  • Counselor Primary
    Definition to come...
    ID license #8331553 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Idaho Falls 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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