NPI age
2 years
Enumerated 2023-12-22
● Active
Type 1 · Individual
Lisa Michelle Koller, SUDA
Koller is 1 of 23 counselor providers in Idaho Falls and 1 of 266 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 266 active counselor providers in Idaho.
NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-12Enumerated in NPPES
2023
2026
Where they practice
Practice location
1810 W Broadway St
Idaho Falls, ID 834025072
Mailing address
1422 Fremont Ave
Idaho Falls, ID 834021553
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: 4 new counselor providers have been added in Idaho Falls in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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