NPI age
5 years
Enumerated 2020-10-12
● Active Type 2 · Organization
Subpart
Idaho State University
Idaho State University is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2020-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
5 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1400 E Terry Dr Bldg 63
Pocatello, ID 832090001
Mailing address
921 S 8th Ave Stop 8120
Pocatello, ID 832090002
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Devin Bean, PT, DPT Physical Therapist NPI 1881428688
Specialties
-
Counselor PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Pocatello Counseling Clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Idaho State University.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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