P Praxis·MD
● Active Type 1 · Individual

Amanda Joy Tillo, LCPC

Counselor·Idaho Falls, ID· NPI 1447059886 · Enumerated 2025 · 1 years on NPI
Tillo is 1 of 80 counselor providers in Idaho Falls and 1 of 1313 in Idaho.
NPI age
1 years
Enumerated 2025-03-10
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, MT
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-08
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
1 years
↓ 8 yr below median (9 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
1262 E 17th St
Idaho Falls, ID 834046126
📞 2083460688
Mailing address
1017 Jaylee Dr Unit 3
Rigby, ID 834424976
📞 2087165288

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1017 Jaylee Dr Unit 3
Rigby, ID 834424976
📞 2087165288

Specialties

  • Counselor Primary
    Definition to come...
    ID license #3071859MT license #BBH-LCPC-LIC-82393 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 10 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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