P Praxis·MD
● Active Type 2 · Organization

East Idaho Mental Health Llc

Counselor·Rexburg, ID· NPI 1629825526 · Enumerated 2024 · 2 years on NPI
East Idaho Mental Health Llc is 1 of 545 counselor organizations in Idaho.
NPI age
2 years
Enumerated 2024-04-30
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thayne
Administrator
Last NPPES update
2025-06-03
Source: monthly bulk 2026-05

How this organization compares

Across 545 active counselor providers in Idaho.

NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
859 S Yellowstone Hwy Ste 3201
Rexburg, ID 834406200
📞 2083592101
Mailing address
859 S Yellowstone Hwy Ste 3201
Rexburg, ID 834406200
📞 2083592101

Authorized official

Destin Thayne
Administrator
📞 2083592101

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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