Kelsey Lynn Cole, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3861173 Issued in ID

Practice address

211 S Woodruff Ave Ste A3
Idaho Falls, ID 83401-4865

Phone

(208) 524-4818

Fax

(208) 522-6630

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Sage Services LLC

  • Counselor
  • Idaho Falls, ID
  • NPI 1538611652
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003473455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S WOODRUFF AVE STE A3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014865",
            "telephone_number": "208-524-4818",
            "fax_number": "208-522-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S WOODRUFF AVE STE A3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014865",
            "telephone_number": "208-524-4818",
            "fax_number": "208-522-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "3861173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Marie Cobiella, M.D.
• Jeffrey Bennion Cockayne, LCPC
• Jessica Janelle Colbert, LCSW
• Cole Vision Corporation
• Bradley Cole, NP
• Amanda Lynn Coleman, PA-C
• Jennifer Collaer
• Joseph Collett
• Javon Collins, LCSW
• John Wesley Collins III, B.S

• All providers in Idaho Falls, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.