P Praxis·MD
● Active Type 1 · Individual

Khali Berlin, LCPC

Counselor·Burley, ID· NPI 1548383136 · Enumerated 2007 · 19 years on NPI
Berlin is 1 of 22 counselor providers in Burley and 1 of 1998 in Idaho.
NPI age
19 years
Enumerated 2007-04-09
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

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 · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
531 E 5th St Unit 3
Burley, ID 833181402
📞 2083120470fax 2086783556
Mailing address
Po Box 969
Burley, ID 833180969
📞 2083120470fax 2086783556

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-3490 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (ID) Q7335 BLUE CROSS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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