P Praxis·MD
● Active Type 1 · Individual

MR. Scott Kay Andersen, LCPC

Counselor·Rexburg, ID· NPI 1508870676 · Enumerated 2006 · 19 years on NPI
Andersen is 1 of 28 counselor providers in Rexburg and 1 of 1998 in Idaho.
NPI age
19 years
Enumerated 2006-07-27
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-08
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
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
343 E 4th N, Suite 244
Rexburg, ID 834406002
📞 2083560088fax 2085243738
Mailing address
343 E 4th N, Suite 244
Rexburg, ID 834406002
📞 2083560088fax 2085243738

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC2823 taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (ID) 1164723334
01 (ID) 710C6005 RBH
01 (ID) D214391 VALUE OPTIONS
01 (ID) Q7348 BLUE CROSS
01 (ID) Q7699 BLUE CROSS

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Rexburg 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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