P Praxis·MD
● Active Type 1 · Individual

Krystalrose Worthington, LCPC

Counselor·Ammon, ID· NPI 1750687992 · Enumerated 2011 · 15 years on NPI
Worthington is 1 of 25 counselor providers in Ammon and 1 of 1998 in Idaho.
NPI age
15 years
Enumerated 2011-02-06
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-14
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
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
2705 E 17th St
Ammon, ID 83406
📞 2083467500
Mailing address
2705 E 17th St
Ammon, ID 834066601
📞 2088218688

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1740 E 17th St
Idaho Falls, ID 834046375
📞 2082062212

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-7195 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.

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