P Praxis·MD
● Active Type 1 · Individual

Robert Davenport

Counselor·Pocatello, ID· NPI 1457190951 · Enumerated 2024 · 1 years on NPI
Davenport is 1 of 165 counselor providers in Pocatello and 1 of 1998 in Idaho.
NPI age
1 years
Enumerated 2024-05-23
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-05Enumerated in NPPES
2024 2026

Where they practice

Practice location
210 W Burnside Ave
Pocatello, ID 832024916
📞 2082389000
Mailing address
210 W Burnside Ave
Pocatello, ID 832024916
📞 2085908259

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-10498 taxonomy 101YM0800X
  • Counselor
    Definition to come...
    ID license #LPC10498 taxonomy 101YA0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Pocatello 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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