P Praxis·MD
● Active Type 1 · Individual

Quinn Blake Thibodeau, LPC, NCC, M. COUN

Counselor·Idaho Falls, ID· NPI 1619102183 · Enumerated 2009 · 16 years on NPI
Thibodeau is 1 of 138 counselor providers in Idaho Falls and 1 of 1998 in Idaho.
NPI age
16 years
Enumerated 2009-05-27
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-12
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
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Practice location
1891 Grandview Ct
Idaho Falls, ID 834022510
📞 2086817182
Mailing address
1891 Grandview Ct
Idaho Falls, ID 834022510
📞 2086817182

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-4361 taxonomy 101YM0800X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    taxonomy 104100000X

Practice context

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

Recently enumerated nearby: 3 new counselor providers have been added in Idaho Falls in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1998 Counselor providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related