NPI age
9 years
Enumerated 2016-06-24
● Active
Type 1 · Individual
Kavin Branham, LCPC
Branham is 1 of 24 counselor providers in Rexburg and 1 of 1313 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-26
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
9 years
≈ at median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
72 S 1st E Ste 103
Rexburg, ID 834401965
Mailing address
Po Box 18
Saint Anthony, ID 834450018
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
335 E Main St Ste 3
Saint Anthony, ID 834451546
Location 3
454 Jeanine Cir
Sugar City, ID 834485085
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new counselor providers have been added in Rexburg in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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