P Praxis·MD
● Active Type 1 · Individual

MR. Shawn Robert Israelsen, LCSW

Counselor·Idaho Falls, ID· NPI 1629679048 · Enumerated 2020 · 5 years on NPI
Israelsen is 1 of 80 counselor providers in Idaho Falls and 1 of 1313 in Idaho.
NPI age
5 years
Enumerated 2020-11-03
Primary specialty
Counselor
Plus 4 subspecialties
Licensed in
ID, AZ, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
3 states
Top 95% — 5% of peers are multi-state
Subspecialties
2
In the 24% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Practice location
2265 W Broadway St
Idaho Falls, ID 834022996
📞 2085247400fax 2085348004
Mailing address
2275 W. Broadway St #g
Idaho Falls, ID 834022902
📞 2085247400fax 2085248004

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCSW-44276 taxonomy 101YP2500X
  • 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...
    AZ license #LMSW-18733ID license #LMSW-40331 taxonomy 104100000X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    UT license #8722060-3502UT license #8722060-3502CSW taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 64 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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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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