P Praxis·MD
● Active Type 1 · Individual

MR. Cody Lee Carlson, LPC

Counselor·Idaho Falls, ID· NPI 1790262871 · Enumerated 2018 · 7 years on NPI
Carlson is 1 of 80 counselor providers in Idaho Falls and 1 of 1313 in Idaho.
NPI age
7 years
Enumerated 2018-07-23
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
2275 W Broadway St Ste G
Idaho Falls, ID 834022902
📞 2085247400
Mailing address
4730 Davis Cir
Iona, ID 834275501
📞 2087096360

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 24 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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